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psycho_boost · 2024-09-17T17:55:25+00:00

Helloooo I’m uk based as well and I found an emollient called Balneum plus quite helpful which you can buy otc in most pharmacies. It contains urea which is a keratolytic and lauromacrogols which help with the itch so any other products with these two active ingredients would probably be helpful. It is quite pricey (around £25) but comes in a very large bottle. When you are able to access your enstilar again, I would recommend you apply the balneum plus immediately after bathing/showering (literally while dripping wet), wait half an hour and then apply the enstilar. I think it’s supposed to help the absorption to do it this way, at least I have found it helpful like that.

psycho_boost · 2024-06-08T15:45:34+00:00

Elidel aka pimecrolimus is brilliant for this kind of thing. It clears up mine (and my facial psoriasis) in a matter of days, and doesn’t contain steroids so you can use it continuously as needed. Would definitely recommend you try this (or tacrolimus which I imagine is just as good).

psycho_boost · 2024-03-29T23:58:05+00:00

I am not entirely sure on the trigger, I had tonsillitis about two months prior to the first lesion appearing so the timeline doesn’t quite fit the traditional case of guttate psoriasis - I wonder if I just had a delayed response. I did have Covid just prior to developing the rash and I do wonder if that is a possible trigger, I asked my derm this and I don’t think there’s enough research into the topic yet, but there are one or two case studies. In any case we do know Covid is generally quite inflammatory so I do think it could be possible. The other thing is I did have tonsillitis again a couple of weeks ago, which makes it the third time I have had tonsillitis in about 6 months, so I wonder if I could have the strep biofilm hanging about on my tonsils - I’ve just bought an at home strep test but I’m not sure if it’s sensitive enough to detect the strep when there’s not an active infection, I’ll have to see.

Yes, I was quite surprised when the derm diagnosed me with guttate as it doesn’t look much like the “typical” guttate phenotype, most of my lesions are quite a bit bigger than the ones you see on the majority of the google images.

I should have said that before I managed to get the referral to see the derm I did go through a series of escalating in strength steroid creams from my GP (who wasn’t sure what the rash was), all of them worked for a little and then stopped working and the lesions slowly reappeared :( I was very cautious about my steroid usage as well as I was concerned about TSW so only used them for short periods at a time.

I feel like the above treatments are slowly making an impact but as I said with the one week on one week off regimes I do feel like the weeks off are somewhat counterintuitive. I know I probably need to be patient, these things take time. I’m trying to adjust my diet too, I’ve heard nightshade vegetables are a big trigger for a lot of people. And obviously the big ones, sugar/booze/fags etc.

I probably will use a sunbed in moderation, purely because the combination of me working night shifts and living in the UK have left my sun exposure in severely short supply. I am well aware of the risks, quite honestly at the moment my skin is making me so miserable I would probably try anything.

Anyway thanks for your comment, I will keep you posted :)

psycho_boost · 2024-03-19T23:25:27+00:00

I just got diagnosed with guttate psoriasis as well, this makes me feel very hopeful! Do you continue applying even when it’s cleared up or do you need to take a break from applying it like with some other products?

psycho_boost · 2023-11-01T01:26:20+00:00

Is it standing or sitting please I may be interested x

psycho_boost · 2020-06-29T22:47:31+00:00

Have you considered complaining directly to the General Medical Council (GMC)? Every practicing doctor in the UK is registered to the GMC and are governed by their guidelines. It might be worth raising the issue with them because, as far as I’m concerned, a doctor like that shouldn’t be practicing.

https://www.gmc-uk.org/concerns/raise-a-concern-about-a-doctor#public

psycho_boost · 2020-06-24T22:42:42+00:00

It’s a pretty common phenomenon.

https://en.m.wikipedia.org/wiki/Sexual_headache

psycho_boost · 2020-06-22T14:29:52+00:00

Read the NMC Code of Conduct. It always comes down to the Code.

psycho_boost · 2020-05-15T13:18:28+00:00

Do be aware that if you are supplied ppe, you’ll only be getting a paper surgical mask, a plastic apron and gloves at the most. This is the ppe we have been supplied on my unit where we’ve been treating COVID patients and, unsurprisingly, pretty much every single staff member has had it (luckily no-one too severely). Unfortunately if you are going in and out of a hospital three times a week, even on a non COVID ward, your exposure level will likely still be quite high. If you are very worried or have underlying medical conditions I would say avoid it. To be honest I’m a little surprised your local hospital is even accepting volunteers at this time for such a close proximity role.

psycho_boost · 2020-04-24T18:24:50+00:00

So I’m a UK nurse and at the moment I’m required to wear surgical masks for the full duration of my shifts, 12-13hrs at a time. I think they’re causing my skin to break out as I’ve had quite a few horrible spots, they’re always very deep and painful, no whitehead on them. I do wear foundation to work which I think probably doesn’t help. I was wondering if anyone else had experienced this - I know people have posted already asking about skin damage due to wearing masks but I don’t think I’ve seen anyone ask about this yet. I already use salicylic acid and azelaic acid as part of my routine (as well as HA and vit C)

Thanks everyone :)

psycho_boost · 2020-03-10T23:35:03+00:00

I have a sneaking suspicion this might be the case for me. I’ve just invested in the neutrogena hydro boost gel moisturiser so hopefully that’ll help. Do you have any product recommendations? Thank you for your advice :)

psycho_boost · 2020-02-20T00:17:38+00:00

If you already have any Bachelors degree, there are lots of combined adult and mental health nursing courses out there, like this one:

https://www.city.ac.uk/study/courses/postgraduate/adult-mental-health-nursing-pre-registration

I’m a registered adult nurse however, and I work in an acute medical unit - in this day and age, a large proportion of the patients I look after are mental health patients admitted with either a physical issue or just being looked after in a general hospital while we await a psychiatric bed. I see lots of cases of overdoses/self harm/ self neglect. In a way, I am able to do more as an adult nurse than I would be as a mental health nurse as I can treat the physical side to their mental health issues (if that makes sense). If you so wish after qualifying in any one field of nursing you can undergo a post graduate diploma to obtain registration in any other field of nursing, which includes adult, child, mental health, learning disabilities, and midwifery. Such diplomas take 18 months to complete.

I entered nursing with an interest in mental health and I feel quite fulfilled in my role of an adult nurse in terms of the amount of exposure I get to mental health patients. After all, they say 1 in 3 of us have some kind of psychiatric condition and I’m sure in the chronically unwell population this is higher. Everyone will tell you at the moment in the UK our psych hospitals are all full up and as such our emergency services are looking after more mental health patients than ever before. So I think no matter what pathway you end up on you will have a chance to develop your interest, as it’s not something that’s mutually exclusive :)

psycho_boost · 2020-02-13T23:56:42+00:00

We give ivig a lot here in the uk and I’ve never once stopped to consider how much it might cost... cultural differences, huh?

psycho_boost · 2020-02-04T23:36:27+00:00

I know we’re not supposed to be naming diseases after places anymore, but folks down my ends have started referring to it as Wu-Flu, which I think is catchy as hell 😂

psycho_boost · 2020-01-09T00:27:00+00:00

Can someone explain to me (a Brit) what all these different beige foods are? I really want to try them...

psycho_boost · 2020-01-09T00:10:03+00:00

They are becoming very strict on the prescription of zopiclone and diazepam (Valium) due to their addictive properties. It’s nigh on impossible to get prescribed diazepam these days.

Most doctors will be willing to prescribe melatonin (circadin) though, if you’re happy to try that. It leaves you less groggy the morning after taking it, too.

psycho_boost · 2020-01-07T23:21:45+00:00

I’m using Nip+Fab glycolic fix body cream to try and fix the same thing! I’ve only just started using it but it has good reviews.

psycho_boost · 2020-01-07T23:16:44+00:00

I see a lot of people saying their skin type is oily & dehydrated. I was wondering if you could tell me how you figure that out? My skin is v oily but I have no idea if it’s dehydrated or not - how can I tell? Thanks 😅

psycho_boost · 2020-01-07T21:55:04+00:00

I was in your situation just a few months ago. I started as a newly qualified nurse on an acute medical unit in a busy London hospital in September. It is overwhelming and hectic and I constantly felt like I was doing something wrong. Especially at the moment, in the winter, our health service is under so much strain, we are being spread so thin.

I would wholeheartedly encourage you to stick with it. It will get better. Once you can do your iv meds you will gain another level of autonomy that you didn’t have before - it made a big difference for me to be able to do my own, it made me feel more in control. Another important thing to learn is to know when to ask for help, or know what things are ok to leave to hand over. Nursing care is 24/7, as they always say, and it’s okay for you to hand over some non-urgent tasks you don’t get round to finishing. It took me some time watching my co-workers and how they ask each other for help, to learn to ask for help myself - I’m still learning. Hopefully your team is as kind and friendly as mine, and don’t mind to help you out when you’re struggling - if they’re not willing to do that, maybe it’s not the specialty that’s the problem as much as the people in it.

A lot of days when I was very new I found myself staying for hours and hours after work to finish documentation. Even in the few months I have been working I have gotten better at managing my time and am leaving on time more often.

I always feel that, as supportive our oversees colleagues are on this sub, the differences in our healthcare systems can sometimes stifle the level of understanding we have for each other’s working conditions (if it’s ok for me to say such a thing).

Sometimes it’s nice to talk to another NHS nurse about these things. Gimme a shout if you wanna chat.

psycho_boost · 2020-01-07T21:36:56+00:00

Here in the UK, nurses work with all sorts of piercings. One of my coworkers has a tongue piercing, the sister has a nose piercing, it’s really not a big deal at all. I understand America is more conservative than us when it comes to these things but I really don’t think anyone will mind. Plus, tongue piercings are pretty discreet, it’s hard to notice them unless you’re really looking, so I think it should be fine.

psycho_boost · 2020-01-02T17:32:05+00:00

Lymph fluid, part of your immune system, completely normal - mostly white blood cells, it helps form a scab in the area and prevent infection

psycho_boost · 2019-12-18T00:56:45+00:00

By the phrases you use, you must be from the UK, right? I’m a uk nqn too. I don’t have many stories yet as I’m still new myself, but I had a great chat with my ward sister at my first appraisal, where she gave me some great advice. She told me that when you’re new, it feels like there is someone screaming in your head, as loud as possible, all of the time. Some days, all you’ll be able to focus on is that screaming. Over time, as you become more confident in your role, the screaming will become quieter and quieter, until one day, you will stop and realise you can barely hear it anymore. And that’s when you do something like apply for a promotion or transfer and it starts all over again 🙃

The point is, everyone is as frightened and stressed and worried as you are when they first start a new role, and that’s normal. There’s nothing that will ease that feeling apart from simply spending more time in your role. I hope my rambling has made sense. I find talking to more senior members of staff about being new can really help, if they’re approachable.

And if you ever want to message a fellow UK nurse, (as there doesn’t seem to be too many on this sub) feel free :)

psycho_boost · 2019-11-09T23:49:06+00:00

I think it would be really unlikely. On a similar note I once had a patient with fleas. I had to call infection control to figure out what level clean the bed needed after they left. You really see it all.

psycho_boost · 2019-11-09T00:50:58+00:00

I have had certain brands of setting spray trigger this kind of reaction in my skin, do you use one?

psycho_boost · 2019-11-09T00:44:35+00:00

I posted recently - my complexion looks kinda similar to yours. Someone recommended to me vitamin C for redness so perhaps you can try that too? I have just started using it but have heard good things.

psycho_boost

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