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Living with Eczema

SOMEONE has Eczema and managed Make-up

Erica Cheung, NYU student who has written for Huffington Post shares her make-up, beauty journey.
Erica Cheung, NYU student who has written for Huffington Post shares her make-up, beauty journey.

This is a new series focused on personal journey with eczema while managing a certain aspect of life. Today, we have Erica Cheung, who has eczema for three years and shares how she manages her make-up. I first learnt of Erica’s eczema while reading her story on Huffington Post. Erica writes for Huffington Post and a senior at NYU. 

Marcie Mom: Hi Erica, thanks for being the first guest for this new series ‘Someone has Eczema’! This blog has been focusing on expert advice for two years, and now I think it’s time to spotlight on individuals coping with eczema as our readers are already knowledgeable in eczema. How long have you had eczema, and has it affected you more during a certain stage of your life?

Erica: I’ve had eczema for three years since I was a sophomore in college. At first, I wasn’t sure what was happening to me but I couldn’t take hot showers anymore without feeling itchy and I started noticing red patches of skin on my neck. Developing eczema in my early years of college was tough not only because it was uncomfortable and unattractive, it added to the stresses I already had as a hardworking student/intern/part-time employee. I researched online about my condition and although I learned a lot about eczema, I really felt like I was one of a handful of people suffering with this condition. This is why I’m so excited about your series ‘Someone has Eczema’!

Marcie Mom: I see in this post that the Huffington Post loves your beauty wisdom. I’m someone who hasn’t put on makeup more than ten times, and one of them was on my marriage! So, can you share your make-up tips (like when you change your brush and what else? I’m clueless in this!)

Erica: As a style/beauty blogger, I love experimenting with makeup and nail polish (especially on holidays!) which is why I was really bummed when I developed eczema and realized that most of the makeup I was using irritated my skin and eyes. My advice when negotiating makeup and eczema is to find a beauty regimen that suits your skin. It really starts with having happy skin. I make sure to use a moisturizer that uses natural ingredients and is highly moisturizing but also calming. My skin is extremely dry and sensitive. It’s always great to ask your dermatologist what skin products he/she recommends and it’s very important to know what suits your skin type. I always recommend Lush’s products because they’re all natural and handmade, so it is easy to know what exactly you’re putting on your skin.

Once your skin is calm and ready for makeup, the next step is to find a good foundation. Again, I always look for natural makeup lines that use as many non-synthetic materials as possible. Two good makeup lines to look into are Tarte and Bare Essentials. Always let the person at the makeup shop know that you have eczema and that you’re looking for makeup that is nourishing and natural and that also doesn’t clump up and get cakey. Cakey foundation is our enemy.

In terms of eye makeup, I learned the hard way that mascara and black eyeliner are the two most irritating products someone with eczema can use. That is, of course, if you’re using products made from harsh ingredients like coal or synthetic formulas. I use Tarte’s Lights, Camera, Lashes and it works like a charm without irritating my tear ducts (it also makes my lashes look amazing!) I’ve also found that Lush’s Emotional Brilliance makeup line is absolutely fantastic for eyeliner choices because they’re all-natural and can easily be washed off with water.

The only other makeup advice I can give is to make sure to remove makeup at night and use a soothing night moisturizer. In terms of scalp problems, I had a hard time finding products to soothe my scalp. Eventually what helped was taking Evening Primrose Oil and trying my hardest not to scratch. Also, natural shampoos seemed to soothe my scalp way more than other shampoos with chemicals in them (again Lush has an amazing selection). If you have any other questions about specific issues or advice please email me

Marcie Mom: For those with facial eczema, do refer to Dr Lynn Chiam’s advice on various types of rashes on face and rashes around the mouth and lips.

Erica, what is your skin care routine for your face? Do you moisturize and do you apply any topical treatment creams on any part of your face?

Erica: I briefly mention this above. I use skin care treatments with all natural ingredients. I wash my face in the morning with water and twice a week I use a light exfoliator from Burt’s Bees. I then use a moisturizer called Celestial for sensitive skin from Lush. I only apply topical treatment creams when I flare up. If I am flaring up, I try not to put anything on my face and apply treatment creams until the flare passes (I also take a antihistamine and drink green tea). I don’t use toners because they tend to dry my skin up too much.

Marcie Mom: One final question – on the dreaded day of eczema flare, and should you fall on a day that you think you ought to have makeup on, what do you do?

Erica: I would take a strong antihistamine (I take Allegra) and then wash my face with no exfoliator at all. I would then apply my trusty moisturizer (its very important to find a moisturizer that you love that soothes your face no matter what) and go with a more natural look. Choose a bold lip (pinks, reds, oranges) and apply neutral eye shadow colors (which contain less synthetic ingredients to begin with). Curl your eyelashes but apply no mascara and go with a light eyebrow pencil. The bold brow and lip with draw attention away from the rest of your face and the eye shadow with give you an elegant but natural look. I would finish off by applying topical creams when needed and waiting for the flare to pass to apply foundation and mascara.

Marcie Mom: Thanks Erica for being my first guest and sharing your personal journey, with makeup and eczema – your sharing confirms I’m right to start this series, I’d never be able to advice anyone on make-up! (Maybe I ought to try make-up someday too, sounds fun!)

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News & Research

Does Fast Food Cause Eczema?

And you'll run faster as you choose healthier options!
And you’ll run faster as you choose healthier options!

The short answer is we don’t know, but get your kids away from fast food.

Apart from the risk of obesity, a recent study of more than 500,000 children in over 50 countries showed a linkage between fast food and chronic illnesses, namely severe asthma, hay fever and eczema. For kids who eat fast food 3 times or more a week, there’s a 30 percent increased risk in severity of the above conditions.  There’s no causal relationship, but signal a link between fast food and eczema. This study was widely reported because it covered a large number of participants and across countries, however, there are limitations which NHS (UK) pointed out. Professor Hywel Williams, one of the co-authors of the study, mentioned in an NIH interview that three or more weekly servings of fruit reduced the severity of symptoms in 11 percent among teens and 14 percent among children. Fast foods is defined as burgers, while eczema is an itchy rash in the past 12 months with symptoms defined as severe if sleep disturbance was reported at least once per week.

I also come across other interesting reports relating to trans fat (abundant in fast food) and coke, and eczema.

Dr David L Katz replied to a Q&A on Oprah.com to reduce intake of saturated or trans fat, as well as foods related to inflammation. He also suggested increasing omega-3s that can help increase anti-inflammatory hormones in the body. He pointed out flaxseed oil, which I’ve been giving my toddler Marcie. For those of us who are celebrating Chinese New Year, you’d be aware (and beware) as many of these commercial cookies have been prepared with partially hydrogenated vegetable oil and one piece of bak-kwa is 300 calories!

Dr Jeff Benabio in his video said that people severely allergic to formaldehyde can also be allergic to diet soda, as diet soda contained aspartame which after ingestion, created formaldehyde. Specifically, aspartame is hydrolysed to methanol, which is metabolized to formaldehyde then to formate.

For readers of this blog, you’d know I’ve been blogging about eating anti-inflammation food and staying away from inflammatory sugar and trans fat, in the link below:

Interview series with nutritionist Julie Daniluk on various anti-inflammatory foods, such as shiitake mushroom.

Interview series with Dr Sears L.E.A.N. on boosting immune system of children, via consuming more fruits and vegetables.

Interview series with nutritionist Toby Amidor on eczema kids’ nutrition & inflammatory foods.

So, in conclusion, there’s no doubt that fast food, which are high in trans fat and mostly fried, are to be avoided. I’ve been cooking healthy food for my family daily, and you’d be amazed at how fast you can whip out a meal once you’re used to it, faster than fast food!

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101 things that Mothers with Eczema Child do Differently

76 of the 101 things that Moms with Eczema Child do Differently – New Year New Stuff

Does a new year remind you to get rid of dust mites' homes?
Does a new year remind you to get rid of dust mites’ homes?

This is the 76th of my “101 Things that Moms with Eczema Child Do Differently“, a tongue-in-cheek look at the many unique situations that we face. For more cartoons, click here to view.

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Support Group

Eczema Support Group – 4th Sharing Session on Allergy Tests

Eczema Support Group, Singapore
Eczema Support Group, Singapore

Happy New Year everyone and for those of us in Singapore, it’s time for our 4th monthly support group sharing session!

For this session, I’m thinking of sharing about allergy tests where everyone can share your experience on what your child is tested allergic/ not allergic to, and whether he/she has outgrown it.

26 January 2012 (Saturday) – Venue, NSC Room 401, 10am to 11.30am

The program:

1. 10.00 – 10.15 am Introducing Ourselves – Feel free to bring your child, my hubby and my 3 year old girl will be there. We have puzzles, coloring, balloon sculpture to keep your little ones occupied.

2. 10.15 – 11.15am We will share our experiences of allergy tests, and I think it’d be interesting because we know that allergy testing is not 100% accurate, so what are the advice from your doctors after the allergy tests? Do you subsequently introduce an ‘allergen food’ and find that your child can eat it without any reaction? Let’s share on Saturday, 26th!

Same note: No doctor present, so don’t expect to ‘Ask the Doc’. Information shared is not medical advice, please still see a doc. No selling anything or pretending to be a parent of eczema child. Information on my blog is not pre-approved by NSC.

3. 11.15-11.30am – Light refreshments while we roam freely in the room to catch up with one another. Plus collect your giveaway: Parenting Tips on Living with Patients with Atopic Dermatitis booklet.

4. YOU MUST RSVP – Our medical social worker who is helping with the Eczema Support Group will be in-charge of confirming your attendance, which isn’t confirmed till she says so! If you’re coming, please email me ([email protected]) your name, mobile and email, number of adults & kids coming, so that I can get her to contact you.

Look forward to seeing everyone!

Mei

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101 things that Mothers with Eczema Child do Differently

75 of the 101 things that Moms with Eczema Child do Differently – New Year Resolution

I think not neglecting our hubbies are important! Btw, I wrote on my fridge Don't Kill my Hubby, Love Him More lol
I think not neglecting our hubbies are important! Btw, I wrote on my fridge Don’t Kill my Hubby, Love Him More lol

This is the 75th of my “101 Things that Moms with Eczema Child Do Differently“, a tongue-in-cheek look at the many unique situations that we face. For more cartoons, click here to view.

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101 things that Mothers with Eczema Child do Differently

74 of the 101 things that Moms with Eczema Child do Differently – Counting Achievements

Don’t we count everything?!

This is the 74th of my “101 Things that Moms with Eczema Child Do Differently“, a tongue-in-cheek look at the many unique situations that we face. For more cartoons, click here to view.

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Eczema Tips

Best of 2012 MarcieMom Eczema Twitter Tips – On Hygiene, Nutrition & Lifestyle

Last but not least, the Best of 2012 MarcieMom Eczema Twitter Tips would also include tweets on hygiene, nutrition and lifestyle! I’m passionate about these – prevention of staph infection through good hygiene and prevention of diseases and obesity through healthy eating and living! Also tons of gratitude to world renowned experts who help me in these topics!

110 of 366 MarcieMom Eczema Tip – Apply chlorhexidine to clean staph bacteria before applying steroid and moisturizer

Marcie’s doctor, Prof Hugo van Bever, told me about staph bacteria and advised using chlorhexidine. And I’m much honored to have Dr Clay Cockerell, board-certified dermatologist and dermatopathologist in U.S and ex-president of American Academy of Dermatology in this Staph Bacteria Series.

Dr. Clay Cockerell – Board-certified Dermatologist and Dermatopathologist

136 of 366 MarcieMom Eczema Tip – Swimming is part of healthy lifestyle for kids and can help to remove harmful bacteria on eczema skin

Another health authority that has helped in this blog is Dr Sears Lean team. Dr Sears is possibly the most well-known pediatric doctor in the US and I’m honored that his team helped out in this Dr Sears L.E.A.N series.

108 of 366 MarcieMom Eczema Tip – Avoid obesity in kids as this is associated with eczema

201 of 366 MarcieMom Eczema Tip – Sugar is inflammatory, avoid inflammatory foods

I’m honored to have registered dietitian, Toby Amidor, to help out in this Eczema Kids’ Nutrition Series.

Toby Amidor, MS, RD, CDN (picture credit: tobyamidornutrition.com)

242 of 366 MarcieMom Eczema Tip – Kaempferol, phytonutrient can reduce allergic reactions

Another nutritionist I’m very honored to work with is Julie Daniluk. Julie is passionate about meals that heal inflammation, and shares much on nutrition on her numerous TV and radio shows. Read here for her healthy recipes.

Julie Daniluk – TV Host & Nutritionist (picture credit – www.juliedaniluk.com)

265 of 366 MarcieMom Eczema Tip – Don’t limit choice of sports for kids, of greater importance is skin care and applying creams correctly 

Another doctor I had the chance to work with is Dr Lynn Chiam, a consultant dermatologist who is very willing to share her insights with parents of eczema children. Read her Teen Eczema series and Facial Eczema series.

Dr Lynn Chiam, a consultant dermatologist who subspecializes in paediatric skin conditions

286 of 366 MarcieMom Eczema Tip – Your jewelry & cosmetics may be causing facial eczema 

AAhhh… a wonderful year of 2012 and blessings to all eczema families!

Categories
101 things that Mothers with Eczema Child do Differently

73 of the 101 things that Moms with Eczema Child do Differently – How we Manage FLU

Fever somehow led to more scratching, which had resulted in skin infection — which led to more fever!

This is the 73rd of my “101 Things that Moms with Eczema Child Do Differently“, a tongue-in-cheek look at the many unique situations that we face. For more cartoons, click here to view.

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101 things that Mothers with Eczema Child do Differently

72 of the 101 things that Moms with Eczema Child do Differently – Child Body Parts we SEE

Don’t you all agree? Sometimes I find myself thinking.. Hmmm I haven’t looked at my baby’s face for sometime, cos I’ve been looking at the eczema!

This is the 72nd of my “101 Things that Moms with Eczema Child Do Differently“, a tongue-in-cheek look at the many unique situations that we face. For more cartoons, click here to view.

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101 things that Mothers with Eczema Child do Differently

71 of the 101 things that Moms with Eczema Child do Differently – Things We ZOOM in on!

Sanitizing door knobs, library books.. even my toddler knows Mommy got to clean them first!

This is the 71st of my “101 Things that Moms with Eczema Child Do Differently“, a tongue-in-cheek look at the many unique situations that we face. For more cartoons, click here to view.

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Guest Interview

Dr Rosina – Inspiring Eczema Kids through Building Self-Esteem, Creativity, Relationships

Dr Rosina McAlpine is a mother, CEO and creator of the Win Win Parenting Program, and holds a Masters of Higher Education and an education focused PhD from the University of New South Wales, Australia. At the time of this interview, she was also an Associate Professor at the University of Sydney.

Inspiring Eczema Kids with Dr Rosina McAlpine Inspired Children Parenting Expert

Having eczema is not only stressful for the entire family, but is also related to lower self-esteem for children with severe eczema. The constant itch and scratching, lack of good sleep may also deter children from concentrating on certain activities they like. Would these affect our kids and how can parents inspire our kids to a fulfilling life, despite the eczema? This was originally a 4-week Friday Q&A, now combined into a single informative post.

Life Skill for our Children: Self-Esteem & Resilience

MarcieMom: I’m thinking of possible scenarios such as

  1. An older child/ teen being conscious of how he/she looks because of the rashes on the skin or face.
  2. Moisturizing often or cleaning off sweat after sports may lead to the child feeling self-conscious as his/her friends don’t need to take that extra time to freshen up and moisturize.
  3. A child may feel conscious that he/she is exempted from wearing jerseys or school uniform that is made with material (usually not cotton) that trigger his/her eczema rash (my toddler in pre-school is wearing Friday sports attire every day as the uniform is made with polyester, instead of cotton).

Self-Esteem vs Self-Confidence

Marcie Mom: Dr Rosina, I’ve learnt from you that self-esteem is how one judge himself/ herself versus self-confidence which is how one thinks how good he/she is at something. The former is related to ‘being’, while the latter is related to ‘doing’. The points I’ve listed above are related to how one feels about the external world appraisal of his/ her looks and behavior. My question is

What can a parent of a toddler age child say or do to build that self-esteem in the child so that when he is older, the child is able to feel secure despite being of an age where he is aware of people staring at his skin?

Should a parent say anything about how the rashes look?

If the child’s eczema is severe, he may know that people notice his skin rashes, should the parent say anything, and if yes, what to say, about the stares his child has been getting?

Dr Rosina: I’d like to start by saying that this is not an easy question to answer and that there is no ‘one’ universal way to parent so each parent must decide what will work best for their family. With that in mind, I would like to offer some suggestions that parents may find useful when faced with this dilemma.

The key to building self-esteem – which is a child’s judgment of themselves – is to give them the opportunity to learn, slowly over time, that they are valuable in their own right. Children need to come to understand that they have the right to have good self-esteem not because of anything they can or can’t do, or how they look, but just because they are human beings. To achieve this, it is important to create opportunities for children to esteem themselves as continual external praise is more likely to result in a child who looks outside themselves for esteem rather than develop self-esteem.

Thee key to building self-esteem – which is a child’s judgment of themselves – is to give them the opportunity to learn, slowly over time, that they are valuable in their own right.

For example, help children to ponder by asking questions like: how do you feel about yourself? Are you amazed about your life? Are you inspired by your ideas? Do you ever wonder how miraculous your body is that your heart can beat on its own without you thinking about it? Isn’t it incredible that you can experience the world through your eyes, ears, finger tips and nose? In this way your children can start to esteem themselves and see how miraculous it is to be a human being.

Let Your Eczema Child Discover that Everyone is Different

Next it is helpful to explore the diversity in humanity with your child and to wonder about it. People are so varied – different height, weight, skin/hair/eye colour, social class, experiences and of course as is the case with eczema medical conditions. Ask your children to think about questions like, “is one human being less than another because they have brown hair/ eczema/ are short?” “Can each person feel good about who they are and shine their individual brilliance no matter what?” Take the time to continue discussions like this and over time children will find their answers.

“Can each person feel good about who they are and shine their individual brilliance no matter what?”

Now to talk about rashes and skin makes some sense once a child knows how amazing they are as a part of the human race and that human beings come in some many different shapes and sizes, then eczema only becomes one of the many different challenges that children all around the world might experience. Each individual’s challenge offers the opportunity to grow in understanding and to grow in heart.

Honest and open communication about how your children feel about themselves and their eczema in light of the ideas above will help them to navigate the ‘stares’ and ‘comments’ that they may get from others.

Social Interaction for Older Child with Eczema

MarcieMom: For an older child, what can a parent do to help the child not feel conscious about herself but instead be able to help her friends understand eczema (do we need to equip the child to educate her friends?) or help her to not feel inadequate or inferior to others?

Dr Rosina: The important thing to help older children understand is that they have control of how they react internally but do not have any control over how other people will react. Sure it is fine to help others understand more about eczema and explain why children with eczema need to take care of their skin in a certain way, but at the end of the day, the key thing to remember is that it is not their job to control or influence how others will react to their eczema. A child’s focus needs to remain on what she/he can control – their own thoughts, feelings and actions.

The important thing to help older children understand is that they have control of how they react internally but do not have any control over how other people will react.

MarcieMom: Dr Rosina, I may not even be asking the right questions – but you get the picture that eczema requires management and can be very apparent for those with rashes on the face or visible body parts like hands and neck.

Any advice on how the parent can lay a solid foundation for the child to have that self-esteem is appreciated!

Dr Rosina: I really appreciate what you are asking about and you make a good point about laying a foundation. The key for parents is to know that children don’t need to know everything right now and to take a long-term approach to child development.  Children have a lifetime to experience, to learn, to make mistakes, to try again and to grow. A parent’s role is to help their children on this journey supporting them to find the answers within through good questioning and exploration together. Over time they will have positive and negative experiences in relation to their eczema and over time they will understand more about the condition, how it impacts them socially, personally and psychologically and how to navigate the world in a life-giving way with the support of parents, family and good friends.

Life Skill for our Children: Creativity

Do you have any advice for parents to engage and motivate the child to be committed to a project, despite the daily battle with eczema?

The backdrop is that eczema parents and child typically have higher stress level, poorer sleep, (I hope not crankier) and moms are usually stressed about the child’s eczema and constant scratching.

In such a context, what can a parent do for himself/ herself and for the child so that mind and body are there for creativity?

Dr Rosina: I can’t imagine how hard it would be to take your mind off a body that is constantly itchy. This must be very difficult for eczema sufferers. You have raised many ideas and there are a few points to look at here.

First, resilience is a key factor in life success, and looking at eczema from a positive point of view in this regard, means that we can see eczema as providing children with the opportunity to build resilience. If children can stay committed to a project despite the obstacles that eczema presents then this will be a valuable life skill!

Second creativity might be just the thing an eczema child might need to take their mind off their body and immerse themselves in something they love. Creativity can come in so many forms including art, music and language … encouraging creativity might support eczema children to shine!

Creativity can come in so many forms including art, music and language … encouraging creativity might support eczema children to shine!

Third achieving goals is a process. Key areas to consider are helping children set realistic but inspiring and meaningful goals, helping them plan how they will achieve their goals, time management and using a diary or calendar and importantly recognizing, counting and rewarding achievements is highly motivating!

Motivating an Eczema Child to take on a project despite the Constant Itch

Is there an approach the parent can take to motivate the child to be passionate about a project/ hobby or discovering his/ her area of interest?

Dr Rosina: It is not easy to be disciplined for kids or adults! A better way to think about it is to form healthy habits. For example, most people don’t mind brushing their teeth, or showering each day or putting on sleepwear before bed… these are all good habits – we just do these things without too much fuss. Perhaps parents of children with eczema could help their children develop their skin care as part of their daily routines and until it becomes a healthy habit.

It is true that a good habit or discipline in one area of life can be repeated in other areas, but not always! Some people are tidy in the office and messy at home for example! The key is to focus on routines and habits that would have the most benefit to children. For very young children, making up a fun song or game about skin care would help the development of a habit that has a ‘good feeling’ about it. Forcing or demanding will leave a bad feeling about the skin care routine which means children are less likely to want to do it.

Parents can be creative… sing a little tune and add words like:

Wash, wash, wash the itch away

Mois-tur-ise and go out to play

I love feeling clean and fresh I say

Soft, clean skin feels great all day!

I just wrote this one quickly – in the hope this gives parents an idea and some inspiration to be creative and make this routine fun! Perhaps parents can post their ideas on your blog site so everyone can share words and tunes! After all your blog is called eczema blues!

With respect to helping parents find what their children are passionate about – it’s best to start by asking the children what they might be interested in. If they don’t know, it’s try to expose children to a wide range of activities and parents and children will easily see which activities bring a twinkle in their eye and which they have an aptitude for.

Life Skills for our Children: Building Relationships

Home Environment

What the parent can do, despite the expansive efforts needed to manage eczema, to create a less stressful home environment?

Dr Rosina: I imagine that stress is not helpful for children who suffer eczema and that it might even aggravate their skin condition. There are many things parents can do to create a less stressful home environment but the most important is to S-L-O-W down. Hurrying yourself and your kids only adds to the stress and puts kids into fight or flight response where you are not able to reason with them.

I also think it is so important to take time out to play and relax. When parents or children are stressed they are much more reactionary and easy to anger. Proactively helping children learn to relax and to play would be a great support both physically and emotionally and reduce stress and anger in the home. It doesn’t take long – 10-15 mins a day. If you can’t manage that take 5 mins!

Is there an exercise that you think is suitable for eczema families to practice so that they can manage their anger and temper better and engage in more relaxing and loving communications with each other?

Dr Rosina: There are two aspects here: 1 is being able to play and relax which we talked about previously – don’t under estimate how important that is in relation to managing anger. If parents and children are relaxed and enjoying themselves they are less likely to anger in the first place. The second is then managing the anger – because it is a normal part of life to get angry form time to time! The key is whether we manage our anger in a way that is harmful to others and ourselves or whether we manage it in a positive way.

Life Skills for our Children: Career

What is the approach parents ought to take when helping (if we can!) our children figure out what to do in life?

Do parents need to identify the child’s interest or talent? Or do parents need to inculcate skill to learn and persevere in the child? Or should parents lower or increase their expectation of what one is even supposed to achieve in life?

Dr Rosina: In an ideal world … what is life for, if not to live, breathe and share your passion? And how wonderful to make a living from what one loves to do? Imagine if everyone looked deep into their heart and shared with the world their unique brilliance and earned their income from doing just that! The world would be a happier and more productive place.

Children have many years to explore and discover their life’s passion. Parents can play a part in this by asking lots of questions and encouraging their children to share their ideas and dreams.

Here are some ideas:

Ask your children to share with you what they love to do; what they would really like to try doing; what or who inspires them and any dreams they have for their life. Ask lots of questions and get them to tell you why they love those things/ dreams. If they are having difficulty thinking of something, tell them some of your dreams and why they make you happy. Help your children understand that you really want to know about their dreams and desires so you can support them, and where possible, do some of the things they love with them. Again, the twinkle in their eye and the smile on their face will let you know if they are tapping into their true heart’s desire.

Ask lots of questions and get your children to tell you why they love those things/ dreams.

It is also helpful to consider that people can pursue their passions as a hobby and not necessarily make money from them. This takes some of the pressure off. Having a full time career in something you are happy to do and earn money from and pursing your passion in your spare time might be just the work/life balance one needs to live a happy and fulfilled life!

The relationships that parents establish with their children from the time they are born will influence how they will interact and relate throughout their lives together.

MarcieMom: Dr Rosina, this statement you just made “relationships that parents establish with their children from the time they are born will influence how they will interact and relate throughout their lives together” brought tears to me – taking care of Marcie hasn’t been easy, eczema and without live-in maid/helper that is common in Singapore. Someone told me it’d all be worth it because the bond between us would be unbreakable, I do hope it’s true, right now, every night before we read stories at bedtime, my girl would just blurt out ‘I LOVE YOU MOMMY’ and give me a big kiss or a rub.

And I love you too, Dr Rosina, you are sincere, serious about inspiring kids, your passion has already spread to Singapore!

Categories
Support Group

Eczema Support Group – Sharing over Lunch

Eczema Support Group, Singapore

On 30 November (last Friday), the Eczema Support Group held its 3rd sharing session and it’s the 1st over lunch! We had Subway sandwich and indulged a little in their yummy cookies too 🙂

Having it over lunch allows working adults to join during their lunch break and I’m happy to meet new people. We talked about food, what we feed our children with eczema and while we were munching on our sandwiches, I shared Julie Daniluk’s video, here. She has another video on eating organic food and I found another interview she had with Dr Oz on craving killers here.

I’m taking a break in December, but will hold another sharing session on 26 Jan (Sat) and 23 March (Sat) 2013. Check back for updates and meanwhile, please feel very free to drop me a comment on how to improve the sharing session! Thank you to everyone who came, including NSC staff!

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101 things that Mothers with Eczema Child do Differently

70 of the 101 things that Moms with Eczema Child do Differently – Bubble Trouble

I would let my girl wear long sleeves (in real life vs the umbrella!)

This is the 70th of my “101 Things that Moms with Eczema Child Do Differently“, a tongue-in-cheek look at the many unique situations that we face. For more cartoons, click here to view.

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Doctor Q&A Other treatments

TCM Series – Understanding Eczema from TCM’s Perspective

TCM Physician Lau Kiew Teck with Raffles Medical Group

For this TCM Series, I’ve the privilege of interviewing TCM Physician Lau Kiew Teck of Raffles Medical GroupRaffles Chinese Medicine Clinic, whose special interests include respiratory conditions, dermatology, pediatrics, diabetes and digestive system disorders.

Refer to the first part of this interview here and the second part here.

Understanding Herbal Bath & Cream

MarcieMom: I read that herbal bath and creams are also prescribed by TCM physicians. What are the ingredients of the herbal bath & cream? Given that there is so much transparency being pushed for in labeling ingredients of skin care products, are ingredients in TCM products fully labeled?

Physician Lau: In my practice at Raffles Hospital, our products are fully labeled and certified by Singapore Health Science Authority.

MarcieMom: Moisturizers, bath oil, bleach bath and steroid topical creams are treatment prescribed by western medicine. Is herbal cream, herbal bath similar? (as in have properties to repair the skin barrier, kill staph bacteria and reduce inflammation)

Physician Lau: As the properties are different between the western medicine and the herbal cream, we are unable to compare. The herbal bath definitely helps in reducing the inflammation thus creating an environment for the skin to recover. Repairing of skin largely depends on the individual body’s nature.

MarcieMom: Acupuncture is also a treatment option used for eczema; how does acupuncture treat eczema and is it recommended for children?

Physician Lau: As mentioned previously, TCM focuses on the holistic approach where a combination of treatment of acupuncture and herbs are used. For instance, if you are suffering from eczema due to weak digestive health, TCM, be it herbs or acupuncture or both, is administered to treat the indigestion problems and subsequently, through the holistic approach, it will speed up the recovery of eczema. I will not recommend acupuncture for children.

MarcieMom: Also, where are TCM medicine produced in? How can a patient check the harvesting of the herbs (whether using insecticide), the manufacturing facility (use of chemicals) and the packing facility?

Physician Lau: Patients can check the manufacturer’s label to see where the medicine is produced in. It is impossible to check on the harvesting of the herbs with the looks of it. Such assessments have to undergo testing.

Physician Lau: Based on the guidelines of Singapore Health Science Authority, all TCM products dispensed in Raffles Hospital are certified.

MarcieMom: Thank you Physician Lau for helping us understand a little more on TCM in the treatment for eczema for the past three weeks.

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Doctor Q&A

Staph Bacteria Series with Dr. Clay Cockerell: Prevention of Staph Infection

Staph Bacteria series with Dr Clay Cockerell Eczema Child Skin

This is a 4-week series focused on bacteria found on our skin, in particular Staphylococcus aureus, a bacterium that can lead to infection and complications in eczema patients. I’m honored to have Dr. Clay Cockerell, former clinical professor of dermatology and pathology and the former director of the Division of Dermatopatholgy at University of Texas Southwestern Medical Center in Dallas, Texas, to help in this series.

How Staph Bacteria Passes From One To Another

Staph bacteria, including MRSA, are spread from skin-to-skin or by contact with surfaces and objects. Staph bacteria present in mucous lining of the nose can be passed to another if the other person touches the mucus from the former’s sneezes (and kindly not dig your nose!). Measures such as hand washing, disinfecting, particularly on surfaces such as doorknobs, mobile phone and keyboards, kill the Staph bacteria.

Infection Prevention and Hygiene Tips for Kids

Marcie Mom: Dr. Clay, here are a series of practical questions on regular cleaning and hygiene!

1. For cleaning of door knobs/mobile phones – how regular should the cleaning be? And is any disinfectant effective against Staph bacteria?

Dr. Clay: The common household antiseptics that contain bleach and other products, such as Lysol, are very effective at killing Staph. There is no “right” answer to how frequently to clean these areas, but if there is a person at high risk of getting an infection or becoming colonized with MRSA, such as a child with eczema, perhaps as often as once or more per day might be a good idea.

2. A hospital setting or being in a confined area with a patient with infected wounds, is a venue with a higher rate of MRSA.

Should a child not be brought to a hospital at all, especially a child with eczema skin?

Dr. Clay: Yes, if the eczema is flared, it would probably be wise to avoid such settings. If for some reason the child must be in those areas, I would strongly recommend that he or she wear protective clothing, such as a gown, and consider taking a bleach bath or shower afterward.

3. Towels should not be shared but washed with detergent and preferably warm water.

What is the temperature a washing machine ought to be set to kill Staph bacteria?

Dr. Clay: The temperature is not the most important aspect of killing the bacteria, but rather the presence of the detergent – especially if it contains bleach is very important. Even if the clothing is washed in cool water, if it contains bacteria-killing detergent, that will be effective. Most washing machines have a hot/warm cycle, but the temperature of the water is not hot enough alone to kill bacteria.

4. Pets can also be infected with Staph bacteria and pass to humans through contact.

Should regular checking of the pet be conducted for Staph bacteria?

Dr. Clay: Yes, especially if there is a child at home with eczema. Most pets that are infected with Staph have some sort of skin compromise like crusting and oozing, and a veterinarian should evaluate those. Just as with humans, washes with bleach-containing products coupled with antibiotics are quite effective.

5. For someone who had a prior Staph infection, is he/she more prone to a repeat case?

Dr. Clay: Yes. Unfortunately, this indicates that the person is prone to get Staph and that their body chemistry is conducive to Staph colonization.

Bleach Bath & Alternative Preventive Measures

Bleach bath has been shown to be effective in reducing Staph bacteria, more in this post.

How does the bleach act against the bacteria on the skin? Kill it and it’s drained with the water?

Dr. Clay: Bleach differs from antibiotics in its killing mechanism as it acts to physically destroy the bacterial cell wall and proteins. Antibiotics interact with the proteins and nucleic acids to cause the bacteria to make abnormal cell structures. As such, they can develop resistance. Once the bacteria are killed with bleach, the residual cell structures are no longer viable, and yes, they will degenerate and be washed away.

For parents who are resistant to bleach bath (like me), I use chlorhexidine.

How much chlorhexidine to put on the cotton pad (soaking wet or squeezed dry wet) and how many ‘swipes’ are required to kill the bacteria?

Dr. Clay: Chlorhexidine is also effective at killing bacteria and basically, all one needs is to coat the area and rinse with water. There is no “right” amount to use, just use enough to cover the area and wash it off. Different products come with different instructions, so follow those as it may be necessary to leave it on a bit longer before washing.  Chlorhexidine is not supposed to be used on the head and neck or in the groin area, however, and unfortunately, these are areas where Staph thrives. For this reason, bleach-containing products like CLn® BodyWash, which can be used in those areas, is a very good alternative. It’s much easier to use than a traditional bleach bath and is much more cosmetically elegant.

Are there other alternatives? Especially for a child with eczema who ought to avoid frequent hand washing with soap?

Dr. Clay: As noted above, a bleach-containing product such as CLn® BodyWash could help to decrease the use of harsher products because of their efficacy in killing bacteria such as Staph and MRSA, which would lessen the risk of causing irritation. For general cleansing, mild cleansers like Cetaphil can be used instead of soap and water, which also lessens the risk of irritation – although, this has no antibacterial effect.

MarcieMom: Thank you so much Dr Clay Cockerell for teaching us lots on how to manage the bacteria on our child’s skin. I’ve learned much in this series and I’m sure many parents do and appreciate your advice!

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101 things that Mothers with Eczema Child do Differently

69 of the 101 things that Moms with Eczema Child do Differently – Pic of your Child?

“This is my girl, isn’t she lovely?” “This is mine, her skin.”

This is the 69th of my “101 Things that Moms with Eczema Child Do Differently“, a tongue-in-cheek look at the many unique situations that we face. For more cartoons, click here to view.

 

Categories
Doctor Q&A Other treatments

TCM Series – Understanding Eczema from TCM’s Perspective

TCM Physician Lau Kiew Teck with Raffles Medical Group

For this TCM Series, I’ve the privilege of interviewing TCM Physician Lau Kiew Teck of Raffles Medical GroupRaffles Chinese Medicine Clinic, whose special interests include respiratory conditions, dermatology, pediatrics, diabetes and digestive system disorders.

Refer to the first part of this interview here.

Herbal Medicine & its Compounds & Prescription

Herbs such as Flos Lonicerae (Jingyinhua), Herba menthae (Bohe), Cortex Moutan (danpi), Rhizoma Atractylodis (Cangzhu) and Cortex Phellodendri (hungbai) are herbs commonly prescribed by TCM physicians for eczema. They have anti-allergic, anti-inflammatory and reducing itchiness effects.

MarcieMom: Physician Lau, could you explain to us what compounds are made up in the herbs that you commonly prescribe to eczema children? (Compounds meaning containing which Vitamin or which carotenoid)

Physician Lau: These compounds are extensive and it is not possible to list them all down.

Marcie Mom: I searched for studies on TCM and effects on atopic dermatitis and it appear that studies which indicate positive results (meaning lower severity of eczema or less reliance on cortisteroids) have relatively small sample size (see here and here). In this review article, the authors from The Chinese University of Hong Kong, Pediatrics and Institute of Chinese Medicine departments, concluded that the “beneficial effects of Chinese medicine on children with atopic dermatitis have not been consistently demonstrated”. I would think this is due to limited studies, both in number of studies and the sample size of studies, which led to inconclusive results and the ambivalence of non-TCM practitioners to recommend their patients to explore TCM.

MarcieMom: Physician Lau, do you know of any conclusive large-scale study of TCM on eczema?

Physician Lau: Not that I know of.

I also read that the TCM prescription is individualized and not standardized across eczema patients. Why is it not possible to be standardized? Would prescribing the common herbs for eczema and in a standard dosage makes it easier for studies to be conducted and also for greater transparency in TCM medicine?

Physician Lau: Each patient requires different attention and treatment and TCM does that. It customizes the treatment for the patient so patient can recover speedily.

MarcieMom: Related to the above, the individualized treatment characteristic of TCM makes it scarier for parents, what if their TCM physician prescribes the wrong potency or frequency? I’m thinking about western steroid creams, a mom would easily google the strength of the steroid and know if it ought not be used daily. Can you advise (1) what questions a parents should ask their TCM physician about the medicines given to their child and (2) what are the common dosage and length of taking these meds?

Physician Lau: Each consultation differs from patient to patient so there is no common dosage or length of taking these medications. The most frequently asked question is “are they safe?” Yes, they are safe and there are no known side effects.

MarcieMom: I read quite a few studies preparing for this interview and found that all of them measure the toxicity level in kidney and liver (and most conclude no toxicity effect). Why is this mentioned in the studies of TCM? Is there a risk of toxicity because the compounds in the herbal medicine are too potent?

Physician Lau: In fact, all medications including western medicine measures the toxicity level in the kidney and liver as these are important and immediate organs that has reactions to the medicine. All medication concoctions follow this benchmark.

MarcieMom: Thank you Physician Lau for the reply. Next week, we’d explore herbal bath and cream treatment options.

Categories
Doctor Q&A

Staph Bacteria Series with Dr. Clay Cockerell: Understanding Treatment Options & MRSA

Staph Bacteria series with Dr Clay Cockerell Eczema Child Skin

This is a 4-week series focused on bacteria found on our skin, in particular Staphylococcus aureus, a bacterium that can lead to infection and complications in eczema patients. I’m honored to have Dr. Clay Cockerell, former clinical professor of dermatology and pathology and the former director of the Division of Dermatopatholgy at University of Texas Southwestern Medical Center in Dallas, Texas, to help in this series.

Treatment for Staph Infection

A common treatment for Staph infection is the use of an antibiotic either topical or oral. Pus may also be drained (only by doctor!). Dr. Clay, what are the common types/names of antibiotics prescribed for Staph infection? And if an antibiotic cream is prescribed, what is the frequency and duration of topical application? Should a parent consult the doctor again if there’s no improvement within the first two days (for possibility of different strain of bacteria involved)? Can a parent apply the same cream the next time a similar-looking rash occurs on the child’s skin?

Dr. Clay: There are a number of antibiotics that are effective against Staph, but unfortunately, many strains of Staph are now resistant to the antibiotics that have been used for years. The most commonly used antibiotics are in the penicillin family, and one of the best is methicillin. Cephalosporins, such as cephalexin, are also good for sensitive strains. Topical antibiotics include bacitracin, Neosporin and mupirocin (Bactroban). These are usually applied two to three times a day. It usually takes several days for improvement to be noted, and there may be redness that lasts for several more days than that. There should be no further spreading of the process, and the pain and redness should start to resolve in two to three days.

What if there is no improvement after treatment?

If there is no improvement, it should be checked by a doctor as it is possible that it is being caused by another rare organism or fungus, or it may be a sign that the patient’s immune response is too weak to help eradicate it with a topical antibiotic alone. In general, if the patient is doing well and develops a similar process, the family can try to treat topically at first. If it does not improve in a few days, the doctor should be notified.

Methicillin-Resistant Staph Aureus (“MRSA”) Infection

A worrying trend is that there is a strain of Staph bacteria, namely the MRSA, which has developed resistance against the commonly prescribed antibiotics noted above. As explained on Dermnet NZ, there is a mec gene in the bacterium that “alters the site at which the methicillin binds to kill the bacteria.” As such, the binding is rendered ineffective, and the MRSA cannot be killed by antibiotics such as methicillin, floxacillin, lactamase-resistant pencillin and amoxicillin.

What are the antibiotics that can be given to a child that can kill the MRSA?

I read that Vancomycin is one such antibiotic, but there are also strains of Staph bacteria that have become resistant to it. What about Bactrim DS (double-strength sulfamethoxazole trimethoprim)?

Dr. Clay: Yes, vancomycin is a commonly used antibiotic that is effective against MRSA, but it cannot be taken orally. If the infection is relatively mild, we generally use Bactrim DS, as it can be taken by mouth and is effective. It is also important to supplement this with measures to try to eradicate it from the skin such as the use of bleach-containing cleansers, like CLn® BodyWash.

MarcieMom: Thank you Dr Cockerell, next week we shall learn about prevention – definitely beats having to treat a staph infection!

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101 things that Mothers with Eczema Child do Differently

68 of the 101 things that Moms with Eczema Child do Differently – Chilling Taxi Ride

I feel bad for the taxi driver!

This is the 68th of my “101 Things that Moms with Eczema Child Do Differently“, a tongue-in-cheek look at the many unique situations that we face. For more cartoons, click here to view.

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Support Group

Eczema Support Group – 3rd Sharing LUNCH Session

Eczema Support Group, Singapore

Time flies when you’re having fun! It’s time for our 3rd & last monthly support group sharing session for this year!

A quick recap: Our Eczema Support Group kicked off with an inaugural event on 14 July 2012, held the first sharing session for parents with eczema child on 22 Sep to discuss moisturizing and held the 2nd session on 20 Oct to share our scratching distraction tips. For this session, it will be a sharing over LUNCH (Provided) to discuss on What We Feed Our Child with Eczema!

30 November 2012 (Friday) – Venue, NSC Room 401, 12 noon to 1pm

Wait! Before I go on to talk about what is happening for 30 Nov lunch sharing, I’d like to first explain why it is on a Friday and at lunch time – Reason (1) Some parents feedback that Sat morning is not possible for them to attend as their kids have classes; Reason (2) lunch time, with lunch provided, can hopefully give parents who are working near town a chance to attend, i.e. slip out of office earlier, enjoy lunch when having fun meeting other parents and get back to office by an acceptable time (which is why this session is an hour, while Sat morning’s session is 1.5 hour)!

1. 12.00 – 12.05pm Introducing Ourselves – This will be shorter than usual, so for those of you who have not been attending because you don’t know what to say, just remember your name!

2. 12.05 – 12.30pm I’d be playing two videos relating to food and inflammation, so that everyone can eat your lunch without worrying of speaking with your mouth full. My hubby, who attended both previous sessions, will not be present to help entertain the younger kids but I will still bring along balloons for sculpturing, puzzles and coloring.

3. 12.30 – 1.00pm We would be discussing ‘What we Feed our Eczema Child’; I’d be sharing some advice from the nutrition experts I’ve interviewed. This is the time to share what food, supplements we have fed our kids in the past and thought it helped a little.. somewhat… maybe. With everyone’s inputs, we can even decide to try cooking a certain food for the next month and report back in January if our child is healthier!

Same note: No doctor present, so don’t expect to ‘Ask the Doc’. Information shared is not medical advice, please still see a doc. No selling anything or pretending to be a parent of eczema child. Information on my blog is not pre-approved by NSC.

4. What’s for Lunch – Very likely, Subway. Because it can be purchased at nearby Tan Tock Seng Hospital, we can eat it without messing the floor and you can visit their website to know how many calories you’re consuming (for those of us concerned with weight gain!).

4. YOU MUST RSVP – Our medical social worker who is helping with the Eczema Support Group will be in-charge of confirming your attendance, which isn’t confirmed till she says so! If you’re coming, please email me ([email protected]) your name, mobile and email, number of adults & kids coming, so that I can get her to contact you.

Look forward to seeing everyone!

Mei