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Support Group

Eczema Support Group Friday Lunch with Pediatric Dermatologist

ESG lunch allergyIt is June holidays and if you are taking leave to spend more time with your children, you may want to choose 20 June 2014, Friday!

On 20 June, at the Singapore National Skin Centre, the Eczema Support Group will be holding its monthly sharing session and this time, with a doctor on our advisory panel Dr Mark Tang.

The topic for 20 June lunch – All Parents Wanted to Know on Allergy

20 June 2014 (Friday) – Venue, NSC Room 401, 12.30 noon to 1.30pm

1. 12.30 – 12.45 pm Introducing Ourselves – we can do this with our mouths full (lunch provided).

2. 12.45 – 1.30 pm I’d be facilitating the discussion on allergy, covering broadly

Allergy Testing – Does my child need to go for allergy test? Which are the common tests? Are they accurate?

Common Allergens – Which are the common allergens? Is food a common culprit?

Allergy and Skin – What does having a tested positive allergen means for my skin?

Do note though that this is not a consultation session. For those bringing your child, there will be balloons for sculpturing, puzzles and coloring to occupy your children.

Same note: 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. What’s for Lunch – Very likely, pizza.

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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Support Group

Eczema Support Group Outing to Discovery Centre

Join the Eczema Support Group to Singapore Discovery Centre
Join the Eczema Support Group to Singapore Discovery Centre

To start off the June holidays, members of the Eczema Support Group are invited for an outing to the Singapore Discovery Centre. Nurse Cindy from the National Skin Centre will be our leader for the outing and you can always talk to her during the outing to discover Singapore!

The meeting time and point is 9.30am, 31 May 2014 (Sat morning) at the Singapore Discovery Centre ticket booth. It is a simple outing to do something together as a group and expected to end by 12.30pm. If interested to go for this outing, do leave a comment and social worker Debbie will get back to you on your RSVP.

Update: Due to low response for the event, this outing is cancelled. Look out for June’s lunch sharing information on this blog!

More on what’s available at the Singapore Discovery Centre here.

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Support Group

Pharmacist Chat with Eczema Support Group

eczema_supportGroup_pharmacy
Products and Medication – Balancing the Two!

Today, the Eczema Support Group for parents of eczema children had a lovely lunch with Senior Pharmacist, Winnie Li.

First, I had my pizza, which looked exactly like the picture on left! 2nd, Winnie had prepared notes for the parents and 3rd, nice conversation and Q&A was undergoing during the up-close with pharmacist session!

A few new points I learnt:

1. For eczema patients, a cream is preferred instead of lotion for a better occlusive property (see moisturizing function here)

2. Urea is a humectant, however 5% for kids and choose one without SLS (sodium lauryl sulphate). Urea is known to have keratolytic effect, which means it helps to soften the thickened skin, thus suitable for adult whose skin has lichenification overtime.

3. Just bath oil is cleansing enough, no need for soap cleanser (more on bath here)

4. As always the topic of local corticosteroid creams comes up, and the tip is to balance the two – use prescription cream when there’s a flare-up to treat it, and when there is no flare-up – keep up the moisturizing and healthy lifestyle.

A point that is emphasized is to keep moisturizing the skin as it is a very crucial step to protect and repair sensitive/eczema skin.

Check back for next month’s topic which is on skincare, will be on a Sat morning!

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Support Group

Eczema Support Group Friday Lunch with Senior Pharmacist

Nothing beats learning from a senior pharmacist about the products that you are using for your child with eczema, Join Us on Friday Lunch 28 March!
Nothing beats learning from a senior pharmacist about the products that you are using for your child with eczema, Join Us on Friday Lunch 28 March!

What’s a better use of Friday lunch than to learn the products that you are using (and spending $$$) on your child with eczema. On 28th March 2014, we are privileged to have Senior Pharmacist Winnie Li share on General Tips in managing Eczema in children with Over the Counter products.

More on Winnie Li: She is the Senior Pharmacist experienced with Eczema and Itch Management. She was an invited speaker for a regional Congress organized by Pharmaceutical Society of Singapore on the topic “Off-label Uses of Oral Drugs in NSC for Pruritus and OTC Itch Relief Remedies ”. She was also the speaker for annual NSC Pharmacist Seminar on the topic “Products of Itch Relief in Atopic Dermatitis”

So Mark Your Calendar and Lunch’s on us!

28 March 2014 (Friday) – Venue, National Skin Centre, Level 4, Room 401, 12.15 pm to 1pm

1. 12.15pm – 12.20pm Quick introduction

2. 12.20pm – 1pm Winnie will be sharing information on eczema, OTC products and helps answer questions you have!

There will be balloons for sculpturing, puzzles and coloring to occupy your children. Same note: 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.

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.

One last thing, the session will START and END on-time, so please don’t come late and expect it to drag, it won’t! Look forward to seeing everyone, including those who normally can’t make it to our sharing session on Saturday morning! Mei

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Support Group

Eczema Support Group for Children – Wet Wrap

Wet Wrap session with Singapore Eczema Support Group
Wet Wrap session with Singapore Eczema Support Group

Last Saturday 22nd Feb, the Eczema Support Group for Parents with Eczema Children held a sharing session on wet wrap and everyone had a lovely time!

After Mölnlycke Health Care Singapore shared about eczema, Tubifast bandage and garments, there was a vibrant discussion on sizes for various body parts of a child. A few pointers on wet wrap shared in this session and previous one are:

1. Ointment, lotion or cream can be used with the wet wrap.

2. Blue and green sizes are applicable for sizes of grade school children, in fact, they ran out during the demonstration as these sizes are so useful for wrapping various parts of a child.

3. The wrap can be hand washed, and built for durability.

For more on wet wrap, see the interview with Mölnlycke Health Care. Thank you to their product manager, NSC’s nurses and medical social worker for being ‘cheerleaders’ for this session. And of course, I appreciate everyone’s participation, we had many light moments as our members got to know each other and ‘joked’ about our stressful condition!

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Support Group

Eczema Support Group – Feb 2014 session on Wet Wrap

Come and Learn how to Wrap Right for Your Eczema Child size and body part size!
Come and Learn how to Wrap Right for Your Eczema Child size and body part size!

Welcome all of you back to 2014, and Gong Xi Fa Cai (translated Prosperity Blessings?)! The Eczema Support Group for Parents with Eczema Children’s first session in 2014 will be on 22 February (Sat) 930 am at NSC, so mark your calendar!

This session will be on Wet Wrap, focusing on learning how to find the Right Size for your Child and using the Right wrap for different body parts. This is a back-by-popular demand session, as many parents who have not attended the last wet wrap talk in April 2013 have been asking me how to wrap.

22 February (Saturday) – Venue, National Skin Centre Singapore Room 401, 9.30 am to 11 am

The program:

1. 9.30 am to 10 am Introducing Ourselves over BREAKFAST – A warm-up for everyone, and food to get everyone awake. Feel free to bring your child, we have puzzles, coloring, balloon sculpture to keep your little ones occupied.

2. 10 am – 10.45 am Tubifast team will share on wet wraps – Right Size and Wrap. They will give a presentation and have products available for you to see. From past sessions’ experience, it is not as easy to visualize your child and how to wrap, so you may just want to bring him/her along!

3. 10.45 – 11am Q&A time, so be prepared with your question!

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 and the session is for parents with eczema kids. Information on my blog is not pre-approved by NSC.

4. YOU MUST RSVP – It will then be possible for us to prepare breakfast and for the Tubifast team to prepare the relevant product. 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.

One last thing, the session would be ending on-time, so please don’t come late and expect it to drag, it won’t – simply cos I have to run! Look forward to seeing you! Mei

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Support Group

Celebrate Eczema Ups and Downs for 2013

Come and celebrate together as ONE BIG ECZEMA FAMILY!
Come and celebrate together as ONE BIG ECZEMA FAMILY!

Time flies and it’s already year-end. We’re rounding this year to celebrate together all our Ups and Downs, as I’m sure many families have much to share on how they manage eczema through the haze, the exam stress while others discover to their joy something that works to calm eczema for their child.

So, the last sharing session for the year, and look forward to meeting old friends and new! The topic is “Eczema Ups and Downs” for the year, and our nurses whom we have enjoyed their company and skincare tips in previous sessions will be joining us for

BRUNCH BUFFET at National Skin Centre, Room 401 on 30 NOVEMBER 2013, 10am to 11.30am. with

Giveaway items: Cetaphil Restoraderm Mini Pack

CetaphilRestoraderm

 

and Parenting Tips on Living with Patients with Atopic Dermatitis book by NSC

parentingeczema

Kindly RSVP by 25 November 2013, as we would need time to book the buffet! Look forward to seeing your children too! I’d be bringing mine, and also balloons, puzzles and coloring to keep all kids occupied.

RSVP by emailing me ([email protected]) or leaving a comment here and I’ll get the social worker for the support group to confirm your RSVP.

The same rules as always: Information shared during session 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.

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Support Group

Eczema Support Group – Ask the Pharmacist

Eczema Itch Support Group Singapore

Last Saturday’s Rise and Shine Expo was a success, including the informative talk by Dr Lynn Chiam on children’s skin. For this Saturday, the eczema support group will have another informative and engaging time with senior pharmacist Winnie Li.

It’d be the first where we have Senior Pharmacist Winne Li. Winnie will be sharing her experience and knowledge as a pharmacist who has worked at National Skin Centre for 5 years. Topic ”General Tips in managing Eczema in children with over the counter products”

More on Winnie Li: She is the Senior Pharmacist experienced with Eczema and Itch Management. She was an invited speaker for a regional Congress organized by Pharmaceutical Society of Singapore on the topic “Off-label Uses of Oral Drugs in NSC for Pruritus and OTC Itch Relief Remedies ”. She was also the speaker for annual NSC Pharmacist Seminar on the topic “Products of Itch Relief in Atopic Dermatitis”

12 October 2013 (Friday) – Venue, NSC Room 401, 1.30pm to 2.45pm

1. 1.30pm to 1.40pm Introducing Ourselves – An informal hi from everyone!

2. 1.40pm – 2.30pm Winnie will be sharing information on eczema, OTC products and helps answer questions you have!

There will be balloons for sculpturing, puzzles and coloring to occupy your children. Same note: 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. 2.30pm to 2.45pm Tea-time and catching up

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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Support Group

Sensitive Skin and Eczema – Public forum on 14 Sep

Do attend this informative public forum on eczema and sensitive skin!
Do attend this informative public forum on eczema and sensitive skin!

On 14 September 2.30pm to 5pm, there is a very informative public forum, by National Skin Centre, on Sensitive Skin and Eczema. The venue is SMU, Admin Building Level 5 Auditorium, and four speakers from NSC will share on eczema – its causes, prevention and treatment. The tickets are at S$8, inclusive of goodie bags and refreshments.

Do click on this link and fill in the registration form. It’d be a very good use of your Saturday!

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Support Group

All about Children’s Skin on Rise and Shine Expo

Dr Lynn Chiam speaks on children's skin on 28 September Rise and Shine Expo 4.30pm to 6pm
Dr Lynn Chiam speaks on children’s skin on 28 September Rise and Shine Expo 4.30pm to 6pm

There is an exciting event this September which is the Rise and Shine Expo. Even more exciting for those of us with children with eczema or sensitive skin, is that there will be a talk by Dr Lynn Chiam, on ‘All about Children’s Skin‘. Dr Lynn has helped out in this blog on Teen Eczema and Facial Eczema, and helped set up the Eczema Support Group.

The Eczema Support Group is bringing you the talk by Dr Lynn at the Rise and Shine expo, and there are complementary tickets (first come first serve) to Dr Lynn’s talk, which would otherwise cost S$30. For those of you who would like to attend this talk, kindly leave a comment to this post, with your email address filled in the relevant field, and then I would contact you.

Deadline for complementary tickets (first come first serve): 24 September 2013, 3pm Singapore time.

The talk is on 28 September 2013, Rise and Shine Expo at Suntec Singapore Hall 401, 4.30pm to 6pm.

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Support Group

Eczema Support Group – 8th Sharing session on OTC products

Eczema Itch Support Group Singapore
Last Saturday’s forum and Art Therapy was a success with over 100 participants! This month of July we are back to our monthly sharing session and this will be over Friday lunch on 26th July 12pm.

It’d be the first where we have special guest- Senior Pharmacist Winne Li. Winnie will be sharing her experience and knowledge as a pharmacist who has worked at National Skin Centre for 5 years. Topic “General Tips in managing Eczema in children with over the counter products”

More on Winnie Li: She is the Senior Pharmacist experienced with Eczema and Itch Management. She was an invited speaker for a regional Congress organized by Pharmaceutical Society of Singapore on the topic “Off-label Uses of Oral Drugs in NSC for Pruritus and OTC Itch Relief Remedies “. She was also the speaker for annual NSC Pharmacist Seminar on the topic “Products of Itch Relief in Atopic Dermatitis”

26 July 2013 (Friday) – Venue, NSC Room 401, 12 noon to 1pm

1. 12.00 – 12.15pm Introducing Ourselves – we can do this with our mouths full (lunch provided).

2. 12.15 – 1pm I’d be facilitating the discussion and Winnie will share her experience as a mom with daughter with eczema, followed by tips on itch management and selection of OTC products.

There will be balloons for sculpturing, puzzles and coloring to occupy your children. Same note: 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. What’s for Lunch – Very likely, pizza.

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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Support Group

Eczema Support Group – Forum and Art Therapy on 29 June (Sat)

Come and join me and the Eczema Support Group in National Skin Centre on 29 June (Sat) 9.30am to 1pm, includes an art therapy session for children from ages 6 to 12. Register via this form, and sending email to the rsvp contact.

NSC ESG June Eczema Support Group EczemaBlues

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Living with Eczema

Someone Manages Differing Eczema Views

Deborah Wyatt, founder of TalkHealth which includes a Talk Eczema forum
Deborah Wyatt, founder of TalkHealth which includes a Talk Eczema forum

This is a series focused on personal journey with eczema while managing a certain aspect of life.
Today, we have Deborah Wyatt, whose daughter’s eczema inspired her to start TalkHealth, an online
community including that of eczema. Deborah will share on her experience managing differing views on
eczema, since the founding of TalkEczema in 2000.

Marcie Mom: Hi Deborah, thanks for taking part in my Friday blog series ‘Someone has Eczema’! Let’s
start with you sharing your personal experience when your daughter had
eczema?

Deborah: My daughter was confirmed as suffering with eczema after falling ill with a virus when she was only 5 months old. The virus and/or the medication seemed to be the trigger.

Living with a child with eczema was all-consuming. For around 5 years it totally took over and dominated our lives. I really didn’t enjoy the first 5 years of my daughter’s life, and to be honest it’s just a horrible memory peppered with sleepless nights, sore and bleeding skin and sheer exhaustion.

Nobody can ever appreciate what it is like to live with a child with a skin condition like eczema.

Like many people affected by eczema, we tried every possible combination of products and treatments in order to try to contain the symptoms. My quest was to make my daughter’s skin as comfortable as possible. Friends and family were very supportive but it was the eczema community I developed online that really threw me a lifeline.

I’m grateful that today, aged 14, my daughter is more or less eczema free. She still has patches of localized eczema which we treat with emollients and suffers with hayfever, food allergies and asthma. But the difference now she is older is that we are very much in control of it.

Marcie Mom: I know from my experience moderating at your forum, and also running support group and this blog, that parents will believe most strongly in what works for them. Some may have been endorsed in studies and internationally, while others not. From your experience, what is the best approach to ensure that everyone (we’re talking eczema sufferers of all ages, experiences, living in different countries, climates and under different health systems) shares amicably on what works?

Deborah: The talkeczema forum, like many other patient forums, is a great place to meet like- minded people and to share experiences of different products and treatments. However, I would always say that if anyone is in any doubt about any treatments they read about, they should talk to their GP or healthcare professional in order to obtain a balanced view. It’s always better to work in partnership with your healthcare professional in order to achieve the best outcomes.

Marcie Mom: There will be at some point where medical opinion is warranted, especially when there are studies but not widely endorsed. How do you tackle such views?

Deborah: It’s always wise to talk openly and honestly with your healthcare professional in order for them to help you make the right treatment choices. Sites like talkeczema are a great place to gather both evidence-based and anecdotal information and advice and by talking your findings, thoughts and views through with your healthcare professional, they can help you to make the right choices for you and your child.

Marcie Mom: One final question – how much would you rank the importance of support in an online community to your own life?

Deborah: I think you can’t put a price on the level of support and help that can be gained in an online community forum. One of the hardest things about living with a chronic health condition like eczema is the emotional turmoil it brings. Talking things through with other people who really understand what you are going through is very uplifting and powerful. It makes you realize you aren’t alone and there are others out there who can offer that vital emotional support.

Marcie Mom: Thanks Deborah for taking time to share your view on managing views! As our world gets increasingly connected, it is good to bear in mind your pointers!

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Doctor Q&A Support Group

Sharing Treatment for Eczema Children

Eczema Treatment for Children Dr Lynn Chiam dermatologist Singapore
Elomet ointment

Last Friday’s eczema support group session with Dr Lynn Chiam was a fruitful one – the topic was Treatment for Kids’ Eczema and we had pizza and chicken wings for lunch at the National Skin Centre Singapore!
Dr Lynn is a consultant dermatologist who subspecializes in paediatric skin conditions at Mount Elizabeth Novena Specialist Medical Centre, Children & Adult Skin Hair Laser Clinic, Singapore.

Eczema Tips for Children

1. Moisturizing within 3 Minutes After Shower

This is inline with Dr Jennifer Shu’s tip here, so it appears that it’s an international recommended practice. Dr Lynn shared that should it be difficult to do so, or if skin is still dry, wet wrap can be implemented. For practical purpose, should the child not be able to tolerate wet wrap overnight, instead implement at least an hour, 5 times a week. Even a dry wrap will retain moisturizer better for the skin.

2. Removing House Dust Mite (if it is an allergen for your child)

Dust mite can be killed either by extreme cold or heat – so wash bedsheet in at least 60 deg C water (read this post) and for stuff toys, freezing them may help decrease the amount of dust mite as they are affected by extremes of temperature. Dr Lynn recommended sunning mattresses and changing mattress once per year, i.e. don’t get a thick and very expensive one. Remove carpets.

3. Use of Topical Steroid – Don’t be Steroid-Phobia

I shared that there is a lot of fear out there among parents on using even the mildest steroid cream, and I’ve heard of increasing number of children hospitalized for infections due to fear of using steroid. Read more here on ‘Is Steroid Cream Safe?’. Dr Lynn explained 4 side effects of topical steroid (i) skin thinning (ii) easy bruising, (iii) fragile blood vessels and (iv) excessive hair growth. However, these can be avoided if patients ensure they use (1) the right steroid (2) at the right part of skin and (3) for the right amount of time. 

Topical Corticosteroid Withdrawal Children

Read this interview with Professor Hugo where we go through the review paper conducted by National Eczema Association on Topical Corticosteroid Withdrawal

For anyone who emailed me (and we’re talking many!) who ask if steroid cream is safe because they’ve read about the side effects (which further reinforces FEAR spread like FIRE), you know my reply is the side effects of MISUSE should not be confused with Right Use. There are also many who have an agenda for propagating fear – to sell a steroid-alternative. Again, there is no need to use one and not the other. You can use steroid safely to treat flare-ups and skin inflammation, while at the same time, moisturize, wet wrap, have healthy diet, healthy lifestyle, distract your child, protect their skin, covering their fingers..


Side effects of MISUSE should not be confused with Right Use

Dr Lynn shared that steroid treatment should be used pro-actively, to treat skin inflammation even after the rash disappear, and this is also consistent with what Dr Bridgett shared in this post. Protopic can be used for maintenance, and I’ve clarified with Dr Lynn that the stinging sensation that some experienced with Protopic will not be manifest as rashes. For more on Protopic, see here.

4. On Oral Steroid

This is usually a treatment for severe active cases, not lightly prescribed due to its side effects of osteoporosis, stunting growth and increased vulnerability to infection. Tomorrow’s post is on prednisolone, and you can also refer to previous post on cyclosporine.

5. This is my afterthought – Don’t Jump from Fear to Fire

I’ve shared earlier that Fears spreads like Fire, and I like to remind parents not to jump from fear into fire – for instance:

Is someone telling you not to use steroid but something natural? If so, do ask them and search Pubmed for studies. I’m not against natural and I’m not against any parent wanting to try something natural. Do check 1. It’s safe to consume/apply, 2. Keep up the standard treatment.

Is someone telling you that a steroid cream is not working and that the flare is caused by it? Think back – did your child have rashes before the steroid? and Dr Lynn shared that each steroid cream has its own molecular structure, suited for different purpose. You may wish to work with your doctor on another cream.

Is someone telling you their skin recovers after doing a,b,c and d? Ask them, did they do a,b,c and d while applying the steroid?

Is your doctor (I really hope not) telling you that established clinically trialed cream is no good and their own concoction is better? I do not know if it is/not, how would anyone know if it’s kept a secret, even without a medical name. If it doesn’t work for your child, it’d be impossible for the next doctor to understand what your child has been prescribed and how the skin reacted.

This is a very long summary of the discussion. But as you can see, I’m really AGAINST people who spread fear of steroid – again, I’m not saying steroid is the only way, I’m saying it has its place and fear shouldn’t be propagated for personal means.

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Support Group

Eczema Support Group for Children – 6th Sharing on Wet Wraps

Tubifast Wet Wrap EczemaBlues

On 27 April (last Saturday), the Eczema Support Group for Parents with Eczema Children held its 6th sharing session and it’s safe to say everyone had a good discussion!

It was a wet wrap demonstration by Tubifast, with a product manager from Mölnlycke Health Care Limited. The key sharing were:

1. Different color-coded are of different sizes, the most common ones are green and blue sold in Guardian pharmacies, the larger ones in Singapore at Paragon, Novena, Woodlands, Jurong, Parkway Parade, Yishun and Bkt Batok. Mt E, KKH (not OTC, ask to be redirected to another dept but need not be consulted there), polyclinic pharmacies also carry, and the full range is available in NSC. (I’m writing this because I receive requests from moms all the time on where to buy, and many go to their nearest Guardian and can’t find them)

2. Wet wrap will require 2 layer, inner moist, outer dry. if you’re buying garments, that would mean buying 2 boxes, or some prefer to use a dry pajama for the outer layer. You can also choose to dry wrap, moisturize and wear the garment as it’s harder to scratch with the fitting garments/wrap. Some kids prefer cool water, while some prefer lukewarm for inner layer, as long as it’s not hot (strips moisture!)

3. Wet wrap can be hand washed, air dry (not in direct sun) and reused as long as it’s still elastic. You can refer to this post for more tips on wear and tear.

4. Size – Always cut a longer strip than the area to be wet wrapped, and there will be some fraying, fold the frayed ends in; and don’t keep trying to cut the frays away. For the face, as it’s irregular shaped, cut even longer than the length of the face. The maximum size for garments is 14 year old.Materials for garments and bandage are slightly different – for garment, it is elastane, nylon and viscose and for wrap, viscose, elastane and polyamide. Gloves are available, even for infants – they make look too small, but they are stretchable.

5. Tie it up – Try tying knots to secure one part of the wrap to the next, perineal dressing, picture above. Basically cut a hole in one part of wrap, say body, and cut another on the hips, cut a thin strip and loop that strip through these two holes.

MarcieMom’s Sleeping Tips

I’ve shared the importance of sleep to a child’s healthy weight gain and behaviour/learning. Also, shared tips to better sleep, such as bathing closer to bedtime, moisturizing, keeping room cool and not too dry and following through with a sleep routine.

The next session will be a first, where a doctor will sit in and help answer questions on a topic – it will be on a friday lunch, and I’d be releasing details soon so everyone can block out lunch on that day! (food provided)

Thank you to the nurse, and medical social worker for sitting through this with me, and being such good encouragers! And of course, I appreciate everyone’s participation, we had many light moments despite the stress of being parents to eczema kids!

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Support Group

Eczema Support Group – 6th Sharing on Wet Wraps for Kids

Tubifast Garment (pic taken from www.molnlycke.com)
Tubifast Garment (pic taken from www.molnlycke.com)

Time flies when you’re having fun! Last month’s Step by Step sharing by Sister Wong was such a hit, that this month’s 27 April (Sat)’s sharing session will be another Step by Step on Wet Wraps.

For this session, we have Tubifast to show you a step by step guide on wet wrap, including covering parts of the eczema child’s body that may be more difficult to wrap. You can read more about wet wraps here.

So MARK YOUR CALENDAR!

27 April 2013 (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, I usually bring mine but this month’s she’s having gym class. We have puzzles, coloring, balloon sculpture to keep your little ones occupied.

2. 10.15 – 10.50am Tubifast team will share on wet wraps. We can relax (especially me) and watch. Be prepared with your question, or better still, bring your child!

3. 10.50 – 11.15am I’ll share on some bedtime tricks I use for a better night’s sleep, can’t say I perfected it but at least I’m not panda-eyed in the morning!

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 and the session is for parents with eczema kids. Information on my blog is not pre-approved by NSC.

4. 11.15-11.30am – Light refreshments while we roam freely in the room to catch up with one another. Plus special giveaway of sample size packs of Cetaphil Restoradem.

5. 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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Support Group

Eczema Support Group for Children – 5th Sharing on Step by Step SkinCare

Nurse Sister Wong shared her experience caring for your child's skin
Nurse Sister Wong shared her experience caring for your child’s skin

On 23 March (last Saturday), the Eczema Support Group for Parents with Eczema Children held its 5th sharing session and it’s the 1st time we have a nurse sharing her expertise!

She shared on:

Moisturizing – how to choose between lotion, cream and ointment, for instance, a cream is preferable for most of the time and ointment for bedtime for many in hot, humid weather. Also to apply in the direction of hair growth and if applying a cool moisturizer helps reduce the itch, by all means put in the fridge – just be sure that your child will not mistake it for ice-cream!

Topical Steroid – various types of steroid creams, and their potency and how to measure using finger-tip

Antihistamine – various types of anti-histamines and to remember it takes about an hour to take effect

Wet-wrap & Bath oil & Bleach bath

For those of you who missed the session, there are some related posts I’ve written on above topics, here on moisturizing tips by Dr Bridgett, here on steroid potency, here on finger tip units, here on wet-wrap and here on bleach bath.

The date for next session has not been confirmed, email invites will be sent out once ready. Do note that this session is for parents with eczema children, adults and teens’ sessions are separately run by another co-chairperson. 

Thank you to Nurse Wong for sharing and taking her Saturday to do so, NSC staff and also everyone for your sharing!

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Support Group

Eczema Support Group – 5th Sharing (Step by Step tips)

Nurse Sister Wong will share caring for your child's skin
Nurse Sister Wong will share caring for your child’s skin

Hope everyone had a Gong Xi Fa Cai Chinese New Year, and I’m excited to share about March 2013’s Eczema Support Group sharing session!

For this session, we have a special guest- Nurse Sister Wong. Sister Wong has volunteered her time and expertise to share her experience taking care of patients with eczema, from mild to moderate to severe patients. She will share practical skin care tips and offer a systematic step-by-step regime for taking care of your child’s skin.

More on Sister Wong: She is the Senior Nurse Educator at National Skin Center and trained in Dermatology and STI (Sexually Transmitted Infections) Nursing in UK. She had spent many years in the inpatient nursing care in CDC and currently based in outpatient services in National Skin Centre. She is also in charge of training programmes for the nurses in Dermatology.

So MARK YOUR CALENDAR!

23 March 2013 (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 Sister Wong will share her STEP-BY-STEP REGIME. We can relax (especially me) and learn from her. Be prepared with your question, and be straight to the point with it as I’m sure many more parents are eager to ask Sister Wong!

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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Support Group

Eczema Support Group – 4th Sharing on Allergy Testing

Eczema Support Group, Singapore
Eczema Support Group, Singapore

On 26 January (last Saturday), the Eczema Support Group held its 4th sharing session and it’s the 1st in 2013! Though not too many parents could make it, the few of us had a wonderful sharing.

I shared what I know about allergy, allergens and allergy testing. More importantly, parents with eczema children are all truly in the same boat, and everyone can identify with each other’s experience.

There’s a question on whether it’s possible to over-moisturize using wet wrap, and the doctor on the support group’s advisory panel suggested not to wet-wrap if the wound is infected and to be mindful of use of topical steroid cream on flexural areas where the skin is thinner (as wet wrap increases the absorbency of steroid to skin). Also not to moisturize on weepy wounds and when the skin is better, wet wrap can be stopped and see your doctor again to assess the next-step skin management steps. There’s also concern on steroid potency, as GP/pediatrician and specialist tend to carry different steroid creams, you can check the table for steroid potency here.

The next sharing session is on 23 March (Sat) 2013, 10am. 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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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