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yucky Dr experience

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  • jenfletcher77
    Hi, I recently had to change Derms because my work changed to Kaiser, and this person said that I did not have rosacea because my skin was dry, and that
    Message 1 of 4 , Jan 31, 2005
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      Hi,
      I recently had to change Derms because my work changed to Kaiser,
      and this person said that I did not have rosacea because my skin was
      dry, and that "doesn't happen in rosacea". He thinks that if it was
      Rosacea it would be controlled fully by the Doxy. (I tend to only
      use the ABX if it is bad, the I wean off it). I had been on Elidel
      with good results, but this isn't in their forumalary, so he gave
      me Protopic, and this is an ointment, and even if I only use a
      little, I look SO greasy, and gross, (and red too, yea!) He also
      said that I should only wash my face with water, and nothing else,
      and if I needed to get makeup off to try ponds cold cream. I have
      tried Metrogel, and Metrocream, and Finacea, and a few other cream
      in the past(dod not work). I tried to get a second oppinion, but
      since it was still a Kaiser DR, and she wasn't any help. He also
      said that he thought that I abused products, and this is the cause
      for my redness. I only was using Cetaphil to cleanse, and Estion
      for a sunscreen (zinc-SPF 38). I have pretty bad flushing, broken
      vessels , and pustules on my face, It is tight, dry, and stings!!
      How do I tell him politely to get educated? (I was DX 10 yrs ago,
      and have seed 2 other Derms who said it was Rosacea) He made me so
      upset I was crying after the appt, and is there anything I can
      suggest to him that might be on thier forumalary? Sorry this is so
      long, but I am upset.
    • Pam Tobey
      While I like the specialists and internists at my Kaiser facility, it seems they have terrible derms when it comes to rosacea! Mine is equally ill-informed and
      Message 2 of 4 , Feb 1, 2005
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        While I like the specialists and internists at my Kaiser facility, it seems they
        have terrible derms when it comes to rosacea! Mine is equally ill-informed
        and just sounds like the basic pamphlet: avoid triggers and use metrogel and
        it will stop. Yeah right. And he's not at all interested in what the latest research
        is. After all, HE'S the doc and I'm a lowly patient--heaven forbid I should read
        medical extracts and keep myself more informed than he! If I don't have
        cancer, he doesn't seem interested in my skin!

        I just go through my internist and ask for prescriptions and she's been good,
        though not greatly informed about rosacea, she at least knows that patients
        can read and study, too. I still find Metrogel works for me on the papules and
        pustules, so I haven't tried Elidel while in Kaiser. Maybe you can talk to your
        internist there.

        Pam in DC
      • cyberpaint04
        I can greatly sympathize with you about your Kaiser derm. I was so grateful initially when my Kaiser derm diagnosed rosacea and prescribed metrocream, it was
        Message 3 of 4 , Feb 1, 2005
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          I can greatly sympathize with you about your Kaiser derm. I was so
          grateful initially when my Kaiser derm diagnosed rosacea and
          prescribed metrocream, it was like a miracle, for a while... When it
          started to not work anymore, I had more trouble, because he didn't
          really want to pursue it much further. I liked the way I was able to
          get prescriptions over the phone, and that he was willing to talk over
          the phone to me about what else I might try (I got him to prescribe
          Noritate at that point.)

          BUT, when I wanted to discuss ipl treatments, he said things to me
          that were very upsetting, and I was also on the verge of tears after
          the phone call. He said, rosacea was a condition, not a disease, and
          Kaiser didn't cover cosmetic treatments. He said some people of
          English or Irish decent just had red faces and it was normal for them.
          I was so offended by the conversation that I wrote him a detailed
          letter about our conversation, knowing it wouldn't do much good, it
          was just therapeutic for me to do. However I think I "educated" him to
          a certain degree. I told him Kaiser does treat conditions not just
          diseases, he was in fact treating my rosacea with metrocream, but they
          were just using INEFFECTIVE treatments. I told him how stinging and
          burning couldn't possibly be considered cosmetic. I told him I was
          deeply offended, etc. etc. Anyway, I did get a written response from
          him including an apology, and he said ipl technology is "on our radar
          and will be undergoing further evaluations at the regional chief's
          meeting..." Not much help to me, but I will be using his letter when I
          send my claim to Kaiser for reimbursement for ipl treatments I've had.
          It doesn't hurt to get these clowns to put their ignorance in writing.

          Other people here might be more knowledgeable in responding about what
          meds you should try next, and also hopefully you have Dr. Nase's book.
          Another thing you might try is a different Kaiser derm, because they
          are not one size fits all. Kaiser has their rules about what they'll
          cover and what they won't, but some doctors might be a lot more
          understanding, you might get lucky.
          Take care,
          Sue

          --- In rosacea-support@yahoogroups.com, "jenfletcher77"
          <jenfletcher77@y...> wrote:
          >
          >
          > Hi,
          > I recently had to change Derms because my work changed to Kaiser,
          > and this person said that I did not have rosacea because my skin was
          > dry, and that "doesn't happen in rosacea". He thinks that if it was
          > Rosacea it would be controlled fully by the Doxy. (I tend to only
          > use the ABX if it is bad, the I wean off it). I had been on Elidel
          > with good results, but this isn't in their forumalary, so he gave
          > me Protopic, and this is an ointment, and even if I only use a
          > little, I look SO greasy, and gross, (and red too, yea!) He also
          > said that I should only wash my face with water, and nothing else,
          > and if I needed to get makeup off to try ponds cold cream. I have
          > tried Metrogel, and Metrocream, and Finacea, and a few other cream
          > in the past(dod not work). I tried to get a second oppinion, but
          > since it was still a Kaiser DR, and she wasn't any help. He also
          > said that he thought that I abused products, and this is the cause
          > for my redness. I only was using Cetaphil to cleanse, and Estion
          > for a sunscreen (zinc-SPF 38). I have pretty bad flushing, broken
          > vessels , and pustules on my face, It is tight, dry, and stings!!
          > How do I tell him politely to get educated? (I was DX 10 yrs ago,
          > and have seed 2 other Derms who said it was Rosacea) He made me so
          > upset I was crying after the appt, and is there anything I can
          > suggest to him that might be on thier forumalary? Sorry this is so
          > long, but I am upset.
        • jaymcbridey11
          That s terrible. I m afraid you re best bet is to get to another doctor. I hope that s an option for you. I don t think you ll be able to change him, and
          Message 4 of 4 , Feb 2, 2005
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            That's terrible. I'm afraid you're best bet is to get to another
            doctor. I hope that's an option for you. I don't think you'll be
            able to change him, and it'll be frustrating to try.


            --- In rosacea-support@yahoogroups.com, "jenfletcher77"
            <jenfletcher77@y...> wrote:
            >
            >
            > Hi,
            > I recently had to change Derms because my work changed to Kaiser,
            > and this person said that I did not have rosacea because my skin
            was
            > dry, and that "doesn't happen in rosacea". He thinks that if it
            was
            > Rosacea it would be controlled fully by the Doxy. (I tend to only
            > use the ABX if it is bad, the I wean off it). I had been on Elidel
            > with good results, but this isn't in their forumalary, so he gave
            > me Protopic, and this is an ointment, and even if I only use a
            > little, I look SO greasy, and gross, (and red too, yea!) He also
            > said that I should only wash my face with water, and nothing else,
            > and if I needed to get makeup off to try ponds cold cream. I have
            > tried Metrogel, and Metrocream, and Finacea, and a few other cream
            > in the past(dod not work). I tried to get a second oppinion, but
            > since it was still a Kaiser DR, and she wasn't any help. He also
            > said that he thought that I abused products, and this is the cause
            > for my redness. I only was using Cetaphil to cleanse, and Estion
            > for a sunscreen (zinc-SPF 38). I have pretty bad flushing, broken
            > vessels , and pustules on my face, It is tight, dry, and stings!!
            > How do I tell him politely to get educated? (I was DX 10 yrs ago,
            > and have seed 2 other Derms who said it was Rosacea) He made me so
            > upset I was crying after the appt, and is there anything I can
            > suggest to him that might be on thier forumalary? Sorry this is so
            > long, but I am upset.
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