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a medical students blog on accutane

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Day 15, 16, and 17

Day 15, 16, and 17 Peoples, My last call night for 3 weeks ended this morning at 7AM. Praise (insert monotheistic reference of choice). I start a new service tomorrow, and I don't have to be there until 7:30 everyday. I havent been at the hospital that late since last July. A freakin' godsend. My face made it through the sleepless night with a cetaphil wash around 8 pm with some CeraVe to follow up. I currently have 6 actives, and blackheads that are purging from my nose. But in all honesty, I don't look that bad, and I am my toughest critic. My oil is definitely reduced, which is awesome. I am just hoping this IB is on it's way out and not ready for round 2 this week. Time will tell I suppose. My rash on my wrists is back after washing my hands 50 times in the past 24 hours, combined with latex gloves and alcohol foam. It itches like a son of a bitch but the lotion I bought helps. I am going for a run in about half an hour, so we will see how much the sweat aggravates it if I apply some lotion right before I go out. My chest still feels like I have been punched. Hopefully it won't affect my run, because it's 71 degrees F outside, which had got me pretty fired up. Sorry for the short post, but I'm losing daylight. Drew





Day 13 and 14

Day 13 and 14 Man o Man, 2 weeks down, many more to go. My face right now is now worse than when I started, but really not terrible. I have developed no cysts in the past two weeks, and I usually would get at least one each week. The skin under my nostrils and at my nasolabial (between your nose and cheeks) folds is getting very dry. It would appear the drying effect is starting kick in. I think I have definitely been having an IB, because my weekly breakout in the past would start on Monday with 3-4 little bastards and 1 big bastard. Now, I have broken out each day in new places with very multiple small, superficial whiteheads in weird places. They pop very easily (if i shave or apply slight pressure). I know we are not supposed to pop our pimples, but let's get real, that's f*cking impossible. I don't know if they monitor language on this site (anyone?). They shouldn't, it's the 21st century, we all have terrible mouths. Our parents' generation started it, our grandparents are too old to realize it, and our kids will be dropping F-bombs before they can say their ABCs. I digress. On the plus side, today was the first day I looked in the mirror at 3 pm and didn't have to blotch off the 'ol cheek grease. I hope this continues, but I am ready for anything. The dermatitis/eczema on my wrists is all but gone, even after a sweaty workout today. Last night was my first restful sleep in three nights. I think the 4:30 wake ups finally caught up with me. Soreness, however, is my newest complaint. I lifted weights on Sunday and Tuesday and today. My sternum (breastbone) feels like I have been punched in the chest after doing some weighted sets of Dips on Tuesday. I have never felt this kind of soreness after working out. I am definitely going to have to cut back some, because it hurts when I take a deep breath, which really sucked when I went running last night. My symptoms are most similar to something called costochondritis. Costochondritis is an inflammation of the cartilage that connects a rib to the sternum. Typically responds to NSAIDs (non steroidal anti inflammatories, such as advil/ibuprofen, aleve/naproxen). Thus, I will take 400 mg tonight and hopefully feel better. "Comparisons are Odious" Famous quote, google it. Drew





Day 11 and 12

Day 11 and 12 Coming up on 2 weeks, hell yea. Yesterday was an 80mg day and today a 40mg day. My optimism stems from the fact that my face looks perhaps the exact same as when I started, which means that it is not worse. There's a silver lining for you. I went for a 4 mile run yesterday as the sun was setting. Last week when I did that my nose turned bright red the next day, probably secondary to sun exposure. So, yesterday I applied Cetaphil 50 spf (I had a free tube that came with cleanser) and......voila, no drewdolph today. I am hesitant about applying too much of the 50 spf though, because historically sunscreens have trigerred bad breakouts. I have an old tube of Proactiv 15 spf from my proactiv days (still do not miss the smell of that shit). The sunscreen was the one product that didn't suck in the whole batch. Maybe I will give it a try again on the next run tomorrow. Lips aren't chapped at all right now, the nighttime Aquaphor is really doing the trick. My wrists have been dry and VERY itchy, which is multiplied 10 fold when I sweat. I bought some Curel anti itch lotion (they were out of the eucerin I wanted) and applied some last night. It made me itch worse initially, though today my wrists feel pretty normal. One new possible side effect: Trouble sleeping the past two nights--tossing and turning almost all night. Maybe the accutane, maybe stress from the hospital/studying, who knows. I should be pretty exhausted tonight after waking up at 4:30, a full day of work, a workout, and then studying and perhaps a beer or glass of wine. I bought 6 bottles of wine yesterday. Not to get wasted (because I can't), but to start to enjoy drinking small amounts slowly. I also bought some wine books. I need a new hobby to replace my weekend benders. Perhaps this will be the start to a new cultural cultivation. At the hospital right now with an hour off before I have to go to clinic. No surgical masks this week, and only one call Saturday night. As long as my face doesn't freak out (knock on wood), shouldn't be a bad week. Damn, I'm thirsty. Drew