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Simon, what you're describing is very human and easy to empathize

with, struggling with embarrassment over one's appearance and (excuse

the pun) performance anxiety.

To reshift the emphasis: as a big fan of music and live performances,

as a person sitting in the audience, all my attention is focused on

the music that is being created, appreciating the live performance as

a link between performer and listener, to experience the music as

close as possible as the performers do, at the moment of creation, to

enhance my experience of the music.

Dizzy Gillespie and Louie Armstrong's face changes during performance

are career signatures. Imagine if either focused on the big cheeks or

sweat in isolation?

I suspect you know more than I do about beta blockers and other

medications that cut back on stage fright and flushing, to free you

from self-concern and allow you to enjoy your face and body as the

audience does: as an instrument of musical expression.

You describe exhaustion, dealing with the guilt of not working to

your potential, and not doing what you " should. " Those words sound

reminiscent of a clinical depression. I can't know if that applies to

you, but as a general comment, clinical depression will make every

problem feel huge and insurmountable, and depression makes it so

difficult to redirect one's attentions off oneself and onto the task

at hand. These are symptoms of a disease and -- unlike rosacea --

depression can absolutely be treated successfully.

I hope that is of some help to you, but if it's not please ignore it -

- cyberspace being what it is, none of us can really know. But

perhaps it'll be helpful to someone else.

What instrument do you play, and in what capacity?

Marjorie

Marjorie Lazoff, MD

> It seems to me that not many people on this board talk about the

> emotional and psychological issues about rosacea, just medicinal

> issues - so I will...

>

> Does anyone elso feel that having rosacea makes them particularly

> tired - that day to day activities take more out of you than most

> other people? I gave a concert last night (I'm a musician). I

knew

> I would flush at some stage, and of curse, by the second half I was

> crimson! The nervousness that I felt wasn't about the music, but

> about whether I would flush badly and how I would cope with it.

> Then, when I did flush, I had to cope with all the thoughts about

> what people were thinking looking at me, whether they would say

> anything, etc. I find this exhausting - today, I can hardly

operate

> at all because I'm so tired - and I feel guilty because I'm not

> working as hard as I should be, and getting done what I should.

Does

> anyone else identify with this - I do hope it's not just me!!

>

> Simon

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Guest guest

Simon, what you're describing is very human and easy to empathize

with, struggling with embarrassment over one's appearance and (excuse

the pun) performance anxiety.

To reshift the emphasis: as a big fan of music and live performances,

as a person sitting in the audience, all my attention is focused on

the music that is being created, appreciating the live performance as

a link between performer and listener, to experience the music as

close as possible as the performers do, at the moment of creation, to

enhance my experience of the music.

Dizzy Gillespie and Louie Armstrong's face changes during performance

are career signatures. Imagine if either focused on the big cheeks or

sweat in isolation?

I suspect you know more than I do about beta blockers and other

medications that cut back on stage fright and flushing, to free you

from self-concern and allow you to enjoy your face and body as the

audience does: as an instrument of musical expression.

You describe exhaustion, dealing with the guilt of not working to

your potential, and not doing what you " should. " Those words sound

reminiscent of a clinical depression. I can't know if that applies to

you, but as a general comment, clinical depression will make every

problem feel huge and insurmountable, and depression makes it so

difficult to redirect one's attentions off oneself and onto the task

at hand. These are symptoms of a disease and -- unlike rosacea --

depression can absolutely be treated successfully.

I hope that is of some help to you, but if it's not please ignore it -

- cyberspace being what it is, none of us can really know. But

perhaps it'll be helpful to someone else.

What instrument do you play, and in what capacity?

Marjorie

Marjorie Lazoff, MD

> It seems to me that not many people on this board talk about the

> emotional and psychological issues about rosacea, just medicinal

> issues - so I will...

>

> Does anyone elso feel that having rosacea makes them particularly

> tired - that day to day activities take more out of you than most

> other people? I gave a concert last night (I'm a musician). I

knew

> I would flush at some stage, and of curse, by the second half I was

> crimson! The nervousness that I felt wasn't about the music, but

> about whether I would flush badly and how I would cope with it.

> Then, when I did flush, I had to cope with all the thoughts about

> what people were thinking looking at me, whether they would say

> anything, etc. I find this exhausting - today, I can hardly

operate

> at all because I'm so tired - and I feel guilty because I'm not

> working as hard as I should be, and getting done what I should.

Does

> anyone else identify with this - I do hope it's not just me!!

>

> Simon

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Guest guest

Simon, what you're describing is very human and easy to empathize

with, struggling with embarrassment over one's appearance and (excuse

the pun) performance anxiety.

To reshift the emphasis: as a big fan of music and live performances,

as a person sitting in the audience, all my attention is focused on

the music that is being created, appreciating the live performance as

a link between performer and listener, to experience the music as

close as possible as the performers do, at the moment of creation, to

enhance my experience of the music.

Dizzy Gillespie and Louie Armstrong's face changes during performance

are career signatures. Imagine if either focused on the big cheeks or

sweat in isolation?

I suspect you know more than I do about beta blockers and other

medications that cut back on stage fright and flushing, to free you

from self-concern and allow you to enjoy your face and body as the

audience does: as an instrument of musical expression.

You describe exhaustion, dealing with the guilt of not working to

your potential, and not doing what you " should. " Those words sound

reminiscent of a clinical depression. I can't know if that applies to

you, but as a general comment, clinical depression will make every

problem feel huge and insurmountable, and depression makes it so

difficult to redirect one's attentions off oneself and onto the task

at hand. These are symptoms of a disease and -- unlike rosacea --

depression can absolutely be treated successfully.

I hope that is of some help to you, but if it's not please ignore it -

- cyberspace being what it is, none of us can really know. But

perhaps it'll be helpful to someone else.

What instrument do you play, and in what capacity?

Marjorie

Marjorie Lazoff, MD

> It seems to me that not many people on this board talk about the

> emotional and psychological issues about rosacea, just medicinal

> issues - so I will...

>

> Does anyone elso feel that having rosacea makes them particularly

> tired - that day to day activities take more out of you than most

> other people? I gave a concert last night (I'm a musician). I

knew

> I would flush at some stage, and of curse, by the second half I was

> crimson! The nervousness that I felt wasn't about the music, but

> about whether I would flush badly and how I would cope with it.

> Then, when I did flush, I had to cope with all the thoughts about

> what people were thinking looking at me, whether they would say

> anything, etc. I find this exhausting - today, I can hardly

operate

> at all because I'm so tired - and I feel guilty because I'm not

> working as hard as I should be, and getting done what I should.

Does

> anyone else identify with this - I do hope it's not just me!!

>

> Simon

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Guest guest

No, Simon --- it's not just you. I have spells of *crashing* fatigue

after a particularly bad rosacea episode. It goes like this: flush,

breakout of patches of pustules (raised, red and itchy), followed by

overwhelming fatigue and exhaustion --- all within the space of about

two or three hours. This part of my overall symptom profile (which also

includes migraines and some digestive problems) bothers me most, as it

seriously impairs my ability to function from time to time.

I had a comprehensive allergy testing session done last week, and the

results were sort of a good-news-bad-news thing: the good news is that

we know what you're allergic to, but the bad news is that it's most

grains and legumes (wheat and gluten being particularly bad), potatoes,

tomatoes, and sugar. And I already knew I had problems with dairy

products derived from cows' milk. Yikes.

I'm trying a sort of " jungle girl " diet, eliminating all those

potential allergens identified by the allergy testing (which I've been

eating all my life, of course), and substituting even more fruits and

vegetables (minus the baddies) and high-protein foods (especially

fish). So far, so good --- less inflammation, no flushing or fatigue.

Pat

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