Showing posts with label doctors. Show all posts
Showing posts with label doctors. Show all posts

4.25.2013

Accutane Really Does Work (Alternate Title: A Post Written By Captain Obvious)


I've been struggling with temperamental and sassy skin since I was about thirteen. Despite both of my parents having angel-skin, when I hit puberty my sebaceous glands exploded and acne began its dictatorship on my face. I tried the more accessible drugstore products first: Clean & Clear (more like Dirty & Pimply, am I right, ladies?), Neutrogena, Clearasil, I tried it all. Now I've come to believe that drugstore acne products are a conspiracy and that they never really clear up acne so that you're forced to keep funneling money into their products for all eternity (insert diabolical laugh), but I was thirteen then and my parents didn't care about my face, they cared about my grades - I took what I could get.

Around sixteen, my mom finally realized how distraught I was about my bubble-wrap face and decided to buy me Proactiv. "Get clear skin!" they said. "Solve all of your acne problems!" they said. Yea, if you're not allergic to Benzoyl Peroxide. I had to stay home from school for three days because my face swelled up about twice its normal size and was covered with a rough, red, alligator-texture rash. I was at my sexiest.

I thought it was a lost cause and so I spent the next couple of years slathering makeup on haphazardly to hide the blemishes. At eighteen, I moved to New York City to start as a freshman at NYU. I thought it wasn't possible for my skin to get any worse but BOY WAS I WRONG. It got so bad that I was finally forced to be an adult and go see a dermatologist. I was prescribed a course of Doxycycline, Clindamycin topical gel, and Retin-A Micro. And guess what? That shit WERKED.

Cut to a couple of months after the course of oral antibiotics was finished and my old friend acne had returned. My derm prescribed another course, and this cycle of success/represcribing a couple of months later when the acne returned continued until about a year and a half ago when the antibiotics stopped working completely. My pimples did a lot of scoffing and were very proud of themselves. For the time being - they had won.

This was taken right before I started Accutane and is a good indication of how shitty my skin had been for most of my life. This photo and all subsequent photos in this post were taken without makeup to give you the full picture. HONESTY, Y'ALL. REAL SHIT.
That was the first time my dermatologist mentioned Accutane. The only thing I knew about it at that time was that it was serious business and that it had a hilarious anti-pregnancy warning on the packaging. I was too nervous, he told me to research it a bit,
This is no joke the pregnancy
warning on Accutane. HILARIOUS.
and I was sent away with some useless topical cream to try. It didn't work (duh) and about two months later I came back to my derm for help. Again, he suggested Accutane, but a combination of sheer stubbornness and fear prevented me from saying yes. I left that day with a prescription face wash. During this time I even tried Benzoyl Peroxide again - rationalizing that I gave up too soon the previous time and that my skin just hadn't adjusted to the chemical (spoiler alert: I was still allergic). After yet another two months of agony, I came back in. "There's really nothing left to try at this point - except for Accutane," said my patient, tolerant, prince-of-a-derm. FINE. I'LL DO IT. JUST GET THIS SHIT OFF OF MY FACE. My response directly to him was a bit more polite. I also was not shouting (except internally).

I don't know if you guys know this about Accutane, but it is a pain in the ass to take. Before you start, you need to get blood taken to make sure all of your levels and potassium and sugar/spice and shit are on point. Then the doctor sends over an approval request to your insurance company, provided you have health insurance. The approval process takes about a month - then you need to come back in and get blood drawn to make sure you're not pregnant. This is because Accutane will cause you to have deformed Dawn of the Dead zombie babies. After the blood is analyzed, you come back in to see the doctor and get your first legit prescription for Accutane. However, before you can pick it up you have to go online and answer a series of condescending questions about your sexual activity (Is it OK to use condoms alone while on Accutane [as in, just condoms as birth control - not condoms for one]? Your significant other pulls out, is this enough [...to not have a baby]?). Once you make it through that Sex Ed pop quiz, you bring your prescription to the pharmacy (with your Accutane "I'm not pregnant" card - you think I'm kidding?) where you have a one-week window to pick up your monthly supply or else you have to redo EVERYTHING. And that's right, I said monthly supply because you have to repeat this process every month that you're on it.

So anyway, one month after that visit I'm sitting on the couch, about to take the first pill, when I start reading about Accutane's side effects. You thought WebMD was scary? What is this, amateur hour?! Accutane has been linked to arthritis, IBD (Chrone's disease, etc), kidney and liver issues/failure, chronic joint and muscle pain, depression, bipolar disorder, the disease from "Cabin Fever," and a hundred other terrifying things. I was frozen in fear and apprehension which quickly disolved into apathy as I took the first pill like the badass, taker-of-risks that I am (I'm not really a risk-taker, I was just so defeated and pretty much at the point where I'd live with an ouchy body if it meant not having pimples - I trust anyone who's had acne knows where my head was at).

Mid-way through my five-month Accutane treatment.
Starting about three weeks in and lasting the entire duration that I was on Accutane, I had chapped lips that could rival Khaleesi's when she was crossing the red waste (yea, I just did that), eyes so dry that they rejected contacts, and the strangest boogers, but other than that, I was actually fine. No aches, no pains, no major organ failure, and no flesh-eating rashes with Rider Strong (tying it back in to "Cabin Fever" here, people - try to keep up). Since my skin was super frail at this point (for example, you must avoid waxing as it will rip off the top layer of your skin - someone had to find this out the hard way, let's have a moment of silence for them), I switched my skincare regimen to the most delicate of products (LUSH's Ultrabland as face wash and Celestial as moisturizer) at the suggestion of my dermatologist.

Five months went by pretty quickly and although the process of getting blood taken, coming back a week later to get the prescription, answering pedantic questions, and then finally being able to get the medication was UGH SO ANNOYING - in the end it was 100% worth it. It's been a couple months since I finished taking it and my skin is only getting better each day. I haven't had to buy a blemish-related product since and my makeup has gotten steadily lighter and lighter. For the first time in my life, this past weekend, I ventured into public without any makeup on. I couldn't be more pleased.

Taken about a month ago and about a month after finishing Accutane. Again, no makeup here. MY EMOTIONS.
In terms of the side-effects, I got lucky. If you're interested in taking Accutane, please check with your dermatologist and go through the necessary smart-person steps before doing so. It is a serious drug and should be taken responsibly, under the watchful eye of a licensed doctor, and only after other attempts have failed you miserably.

Let me know if you have questions? I guess?



11.01.2011

How to Cure a Yeast Infection In the Most Delicious Way


Let me start off this post by saying no, this isn't about farming vaginal yeast to make artisanal bread and yes, you should not continue reading this if you have a twig and berries between your legs (you've been warned, gentlemen). Now, onto the yeasty goodness.

Vaginas are a bitch. One wrong move that disrupts the delicate flora, fauna, and merryweather (possibly fairies from "Sleeping Beauty" and not vaginal components), and you're off to the gynecologist to get your
What the yeast are up to in there. Science.
hoo-ha scraped and poked. If you're like me, you try everything you can yourself before you tell an adult.
Home remedies can be almost as complicated as putting on pants and actually going to the doctor. They can also be complete Whole Foods organic bullshit. You can read the testimonials all you want, but who can you really trust on the internet? Are you really going to rest ice cubes on your forehead to get rid of belly button lint just because some lady in Omaha swore by it? I did, and I still have belly button lint.

Anyway, yeast infections can be caused by the most innocuous things such as sex or antibiotics. I've heard even thinking too hard about yeast infections can cause yeast infections (turn back now). If you suspect that your vagina is being invaded by things that are better served in a winery, follow the steps below to get rid of them without even putting on pants!


Note: I am not a doctor. If you have the clap and do this, it will probably burn like the inside of Mount Doom and be completely ineffective. Check your symptoms here and only proceed with the whole listening-to-a-random-chick thing at your own risk.


1. If you're experiencing a lot of burning/soreness, I would first suggest going out to the store and getting plain yogurt (no sugar!), dipping a tampon in it, and inserting it into your junk like you normally would. The cool yogurt is very soothing and contains the natural probiotic bacteria that gets rid of yeast! Do that overnight and then proceed with the steps below. If you're just a bit itchy/not really burning a lot, proceed to step two.

Your new best friend. LYLAS, garlic!
2. Get yo'self some garlic. You want to use fresh garlic and you'll need anywhere from 2-6 cloves depending on how bad your infection is.

3. Take one clove and unwrap the paper-like layers off. Then, with a sharp knife, slice each side off very thinly so that what's exposed is the wet part (this is all very technical wording, I know). It's sort of like you're preparing a delicious Italian dish except not at all because it's going straight into your vagoo and there's no pasta involved (I mean, there can be if you start to feel peckish).

4. Take a needle and thread and poke it straight through the center of the clove. Pull it through so that both sides are about equal in length and then cut the needle off. Tie the thread in a knot around the clove as many times as you want. Just make sure it's secure because the last thing you want is to lose a clove of garlic in your vagina for eternity.

5. For the pièce de résistance, insert the clove into your snatch with the thread hanging out so that, when you're ready, you can remove it like a tampon.


Some Extra Info:

♥ It will probably burn like a bitch going in. That is complete normal albeit annoying. It will subside in about two minutes.
♥ Replace the garlic with a fresh clove every morning and every evening before bed. You don't want it getting nasty in there.
♥ The human body is a crazy bananas thing and during this process, you will taste garlic in your mouth and it will be SO FUCKING WEIRD. I actually discussed this on my first date with my boyfriend, Sam. I'm such a keeper, right?
♥ Try to refrain from sexy things until you're all cured. Unless your significant other REALLY enjoys garlic bread.
♥ This method works because garlic is a natural antifungal and antibacterial and will kill all dat yeast for you.
♥ As my friend Erol just pointed out, your vagina will also be protected from vampires. How's that for killing two birds?


Oh, and if you have some AZO Yeast tablets, Garlic tablets, and/or Acidophilus tablets (you can get all of these at your drugstore), take two of each per day. It also helps to avoid sticking sugary treats in your vagina. Good luck!


6.03.2011

Going To The Gynecologist



If you're a prissy man who can't handle the thought of what goes on behind the doors of an OB/GYN, then turn around now. You're the same type of guy who goes "ewwww" when a girl even says the word "period," regardless of whether you're in English Grammar And Punctuation 101 with her or not. These are human bodies. Many mammals menstruate (overtly or covertly) but they can't go to the Gyno for obvious reasons (even though I'd love to see a hedgehog get a pap smear). Anyway, to those men, peace out and grow up.

Yesterday, I went to the Gyno (or cervix goblin, as I like to call them) for my annual exam. I had forgotten what a hoot it was (this comment is dripping with sarcasm)! It was my first appointment at this practice (I had recently decided to switch because my old Gyno was disappointingly run like a sweat clinic [hybrid of a
House M.D.
sweat shop and a clinic]). Either way, this was exciting because I got to sit down with Dr. Pilshchik and answer the intake questions (my favorite part). Do I smoke and drink? Sometimes. Do I have a boyfriend? Yes. Do I have AIDS? No. What am I allergic to? Biaxin and Benzoyl Peroxide. What happens when I use them? Gross hive-y things. Finally, she got to the last question: Do I have any pets? I love talking about my bunny and my cat, as you can tell. However, I'm a little fuzzy on what either of them have to do with my vagoo. My manager at work told me it probably is some Toxoplasmosis-related foresight if I were to get pregnant in the future (PLEASE NO, knock on ALL the wood). I honestly still have no clue why she asked me but again, it was a chance to gush about House M.D. and Shadow, so I didn't mind.

Me and my Shadow
At this point she brought me into the exam room where I got a pap smear and had my ovaries tickled and smushed (the scientific way to check for cysts). Let me just say now that pap smears suck every time. I don't even think I'd enjoy them if I was given an avocado and a glow stick to distract me during the procedure. That, and the stirrups are the most awkward things ever; they just make me feel so vaginally equestrian. Overall it was a quick, thorough, and satisfying (not like that) visit. If I were rating my Gyno on Amazon.com, she would get five stars.


On the off chance that there is some sort of virtual suggestion box for all OB/GYNs out there, I'd like to advise possibly finding another way to smear my pap that doesn't involve so much pinching and pulling. Also, why don't you cervix goblins sell sex toys? After all, this is a women's health facility, right? I feel like it would be extremely profitable for both parties if there was a room in the practice that was devoted to explaining and selling sex toys. What do you think? Am I out of line? Sam seems to think so, as he likened it to Proctologists selling butt plugs and Podiatrists selling foot fetish paraphernalia. I think I'm onto something though.