Guest guest Posted April 2, 2002 Report Share Posted April 2, 2002 I went through a bit of misdiagnosis with my rosacea. I went to one derm, who was on the NRS list. She diagnosed me with rosacea, but her treatments didn't do anything for me at all. I had a bright red face and lots of bumps. (metrogel and tetracycline and later minocycline) Next, I went to another derm on the NRS list who said that I didn't have rosacea at all but acne. He recommended that I take a full course of Accutane as that would cure my acne. Then, I tried someone who was a clinical instructor at the University of California at San Francisco(UCSF) and practiced at their campus. She was not the NRS list. She said I had rosacea and gave me topical Azelex/Novacet and oral Bactrim. She also recommended that I get C02 laser for my red, bumpy and slightly swollen nose, but she wanted to try the topicals and oral meds first. The Azelex/Novacet and Bactrim seemed to tone down the redness and decrease the bumps. I saw her again in six weeks and she told me she was pleased that my acne was clearing up. I asked her what she thought of the rosacea and then told me I didn't have rosacea. I was a bit confused and asked her about what she said the appointment before, but she said I had acne and looked at me like I was from outer space for mentioning rosacea. She seemed very rushed and I don't think she read the notes from the prior appointment. She at least cleared up my face without irritating it and I was set to see her again, but she moved her practice across town and left UCSF. I decided to try someone else at UCSF. I went to see a derm who was a full professor at UCSF and had published in a lot of medical journals. He was not on the NRS list. He diagnosed me with rosacea. I was a bit pink with some bumps, but not bright red. I had stopped the Bactrim a few months before and was using Novacet as a topical. I had to stop the Azelex since it turned me red after about four months of use. When I asked him about acne, he said I didn't have comedones so I didn't have acne. I had the typical rosacea bumps. When I see him, he always remembers that I have rosacea, or at least he reads the notes he made on me from previous visits. He also takes a close look at my skin. He is an exceptionally bright doctor and professional. I went to four different doctors in the space of 18 months and had different diagnoses for the same problem. It was really frustrating. I'm lucky that I live in an area that has many derms and two highly- rated medical schools. If this guy at UCSF didn't work out, I was going to go to Stanford U.and get a derm there. (I went to the Stanford U. acne clinic as a teenager, and they basically did nothing for me. I wasn't eager to go back there.) I'd agree with questioning the doctor the first time you see him or her. Why waste your time and money on someone who isn't going to help you or even give you a consistent or correct diagnosis in the first place? Not every derm keeps up or remembers the correct way to treat rosacea. I wouldn't give that doctor more than a visit or two. On a side note, my endocrinologist wanted to give me some tetracycline and suggested I use some otc acne meds when I was a bit bumpy last year. This was unsolicited; I didn't ask him about my skin at all. I told him I had rosacea and the acne meds would make it worse. He said they call it acne rosacea and he wanted to treat the acne portion. I hope the NRS spreads it message further because some docs aren't getting it. Take care, Matija Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2002 Report Share Posted April 3, 2002 For those of us new (or fairly new) to this list, what's the NRS list? Re: venting AND need advice I went through a bit of misdiagnosis with my rosacea. I went to one derm, who was on the NRS list. She diagnosed me with rosacea, but her treatments didn't do anything for me at all. I had a bright red face and lots of bumps. (metrogel and tetracycline and later minocycline) Next, I went to another derm on the NRS list who said that I didn't have rosacea at all but acne. He recommended that I take a full course of Accutane as that would cure my acne. Then, I tried someone who was a clinical instructor at the University of California at San Francisco(UCSF) and practiced at their campus. She was not the NRS list. She said I had rosacea and gave me topical Azelex/Novacet and oral Bactrim. She also recommended that I get C02 laser for my red, bumpy and slightly swollen nose, but she wanted to try the topicals and oral meds first. The Azelex/Novacet and Bactrim seemed to tone down the redness and decrease the bumps. I saw her again in six weeks and she told me she was pleased that my acne was clearing up. I asked her what she thought of the rosacea and then told me I didn't have rosacea. I was a bit confused and asked her about what she said the appointment before, but she said I had acne and looked at me like I was from outer space for mentioning rosacea. She seemed very rushed and I don't think she read the notes from the prior appointment. She at least cleared up my face without irritating it and I was set to see her again, but she moved her practice across town and left UCSF. I decided to try someone else at UCSF. I went to see a derm who was a full professor at UCSF and had published in a lot of medical journals. He was not on the NRS list. He diagnosed me with rosacea. I was a bit pink with some bumps, but not bright red. I had stopped the Bactrim a few months before and was using Novacet as a topical. I had to stop the Azelex since it turned me red after about four months of use. When I asked him about acne, he said I didn't have comedones so I didn't have acne. I had the typical rosacea bumps. When I see him, he always remembers that I have rosacea, or at least he reads the notes he made on me from previous visits. He also takes a close look at my skin. He is an exceptionally bright doctor and professional. I went to four different doctors in the space of 18 months and had different diagnoses for the same problem. It was really frustrating. I'm lucky that I live in an area that has many derms and two highly- rated medical schools. If this guy at UCSF didn't work out, I was going to go to Stanford U.and get a derm there. (I went to the Stanford U. acne clinic as a teenager, and they basically did nothing for me. I wasn't eager to go back there.) I'd agree with questioning the doctor the first time you see him or her. Why waste your time and money on someone who isn't going to help you or even give you a consistent or correct diagnosis in the first place? Not every derm keeps up or remembers the correct way to treat rosacea. I wouldn't give that doctor more than a visit or two. On a side note, my endocrinologist wanted to give me some tetracycline and suggested I use some otc acne meds when I was a bit bumpy last year. This was unsolicited; I didn't ask him about my skin at all. I told him I had rosacea and the acne meds would make it worse. He said they call it acne rosacea and he wanted to treat the acne portion. I hope the NRS spreads it message further because some docs aren't getting it. Take care, Matija -- Please read the list highlights before posting to the whole group (http://rosacea.ii.net/toc.html). Your post will be delayed if you don't give a meaningful subject or trim your reply text. You must change the subject when replying to a digest ! See http://www.drnase.com for info on his recently published book. To leave the list send an email to rosacea-support-unsubscribe Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2002 Report Share Posted April 3, 2002 For those of us new (or fairly new) to this list, what's the NRS list? Re: venting AND need advice I went through a bit of misdiagnosis with my rosacea. I went to one derm, who was on the NRS list. She diagnosed me with rosacea, but her treatments didn't do anything for me at all. I had a bright red face and lots of bumps. (metrogel and tetracycline and later minocycline) Next, I went to another derm on the NRS list who said that I didn't have rosacea at all but acne. He recommended that I take a full course of Accutane as that would cure my acne. Then, I tried someone who was a clinical instructor at the University of California at San Francisco(UCSF) and practiced at their campus. She was not the NRS list. She said I had rosacea and gave me topical Azelex/Novacet and oral Bactrim. She also recommended that I get C02 laser for my red, bumpy and slightly swollen nose, but she wanted to try the topicals and oral meds first. The Azelex/Novacet and Bactrim seemed to tone down the redness and decrease the bumps. I saw her again in six weeks and she told me she was pleased that my acne was clearing up. I asked her what she thought of the rosacea and then told me I didn't have rosacea. I was a bit confused and asked her about what she said the appointment before, but she said I had acne and looked at me like I was from outer space for mentioning rosacea. She seemed very rushed and I don't think she read the notes from the prior appointment. She at least cleared up my face without irritating it and I was set to see her again, but she moved her practice across town and left UCSF. I decided to try someone else at UCSF. I went to see a derm who was a full professor at UCSF and had published in a lot of medical journals. He was not on the NRS list. He diagnosed me with rosacea. I was a bit pink with some bumps, but not bright red. I had stopped the Bactrim a few months before and was using Novacet as a topical. I had to stop the Azelex since it turned me red after about four months of use. When I asked him about acne, he said I didn't have comedones so I didn't have acne. I had the typical rosacea bumps. When I see him, he always remembers that I have rosacea, or at least he reads the notes he made on me from previous visits. He also takes a close look at my skin. He is an exceptionally bright doctor and professional. I went to four different doctors in the space of 18 months and had different diagnoses for the same problem. It was really frustrating. I'm lucky that I live in an area that has many derms and two highly- rated medical schools. If this guy at UCSF didn't work out, I was going to go to Stanford U.and get a derm there. (I went to the Stanford U. acne clinic as a teenager, and they basically did nothing for me. I wasn't eager to go back there.) I'd agree with questioning the doctor the first time you see him or her. Why waste your time and money on someone who isn't going to help you or even give you a consistent or correct diagnosis in the first place? Not every derm keeps up or remembers the correct way to treat rosacea. I wouldn't give that doctor more than a visit or two. On a side note, my endocrinologist wanted to give me some tetracycline and suggested I use some otc acne meds when I was a bit bumpy last year. This was unsolicited; I didn't ask him about my skin at all. I told him I had rosacea and the acne meds would make it worse. He said they call it acne rosacea and he wanted to treat the acne portion. I hope the NRS spreads it message further because some docs aren't getting it. Take care, Matija -- Please read the list highlights before posting to the whole group (http://rosacea.ii.net/toc.html). Your post will be delayed if you don't give a meaningful subject or trim your reply text. You must change the subject when replying to a digest ! See http://www.drnase.com for info on his recently published book. To leave the list send an email to rosacea-support-unsubscribe Quote Link to comment Share on other sites More sharing options...
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