Category Archives: Diseases, Injuries, and Dying

How common meds can hurt your skin-

In a previous I told you how smoking and sunlight affect our skin- premature aging, dryness, and increased risk of skin cancer. Here is a link for you to review or read if you missed it.

How smoking and sun affect your skin’s look and feel

Layers of the Skin diagram

Here is a review of the skin’s layers

Medications and skin -help and harm

In this post I’ll talk about ways medications can adversely affect skin health.

Medications, both prescription and over the counter, can relieve symptoms, hasten healing, and save lives. Even so, adverse reactions are always a risk with any drug. Some of these adverse reactions can involve the skin.

So it is vital that patients and doctors avoid unnecessary or inappropriate use of medications.

Sun sensitivity due to medication

As mentioned in the previous post , some medications can make your skin more sensitive to sun exposure, called drug-induced photosensitivity.

Any drug can cause a reaction, even if you have taken it before without a problem. Some of the more common “skin reaction drugs” include

  • Anti-inflammatory medications, the NSAIDs
  • Psychiatric medications
  • Chemotherapy drugs
  • Blood pressure lowering meds
  • Antibiotics
  • Statins-cholesterol lowering drugs

Reactions can vary from scaly rashes, blisters, redness, dryness, itching, to severe eruptions all over the body that can be painful and occasionally life threatening.

This is what your skin looks like under a powerful microscope.

Melasma-drug induced skin color change

Melasma (muh-LAZ-muh) is a common skin problem. It causes brown to gray-brown patches, usually on the face. It is much more common in women, probably because it is triggered by female hormones, so it often starts in pregnancy. Women of color are also more susceptible.

Photo by Pixabay on Pexels.com

Melasma can be caused by

  • Sun exposure
  • Hormone medications-birth control pills, post -menopause hormonal therapy

Here is an excellent discussion and photos of melasma from the American Academy of Dermatology

Use antibiotics wisely for your skin’s sake

Probably the most common drugs that cause a rash or other adverse effects are antibiotics, probably because they are used so often. A

Antibiotics such as penicillin, amoxicillin, sulfa, tetracycline, and ciprofloxacin can cause several skin reactions .

  • urticaria, also known as hives
  • photosensitivity, mentioned above
  • a scaley rash that may peel off
  • a measles-like rash, called morbiliform
  • blisters

So doctors prescribe antibiotics only for infections that are serious enough that the risk of adverse reaction is worth the possible benefit.

Colds,  flu, and bronchitis are caused by viruses and don’t respond to antibiotics. Even sinus and ear infections don’t always need an antibiotic to resolve. Please don’t pressure your doctor for an antibiotic when you don’t need it. Read more about antibiotic misuse at my previous post

How to navigate the antibiotic highway

6 smart facts about antibiotic use
graphic created by the Centers for Disease Control, http://www.cdc.gov

The American Academy of Dermatology shares

10 skin care secrets for healthier skin

What you should and shouldn’t do now

Please understand I am not saying we should never use these medications as sometimes they are the best choice for our overall health. You should be aware of the potential for reactions and report them promptly to your doctor if they occur.

If you are taking any of the drugs listed here, do not stop without talking to your doctor.

Coming soon-more skin care tips

In a future post I’ll look at common skin injuries and how to help injured skin heal.

Thanks for joining me to explore skin problems and the HEART of health. Even if it’s winter where you live, don’t forgo sunscreen; the sun doesn’t take a holiday from damaging skin.

Please share this post and follow Watercress Words where we explore and share the HEART of health.

                              Dr. Aletha 

a cute monkey checks out his face in a mirrow
We all care about our appearance, including this cute monkey. Photo by Andre Mouton on Pexels.com
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A time to be born, and a time to die-what books teach us about dying

There is a time for everything,
    and a season for every activity under the heavens:

    a time to be born and a time to die,

Ecclesiastes 3, NIV

Holy Bible, New International Version®, NIV® Copyright ©1973, 1978, 1984, 2011 by Biblica, Inc.® Used by permission. All rights reserved worldwide.

Birth and death are the only medical events that all humans share. We can anticipate and celebrate the births of other people but not our own.

However we all can anticipate our own death although most of the time we don’t want to.  Unless we deal with a chronic life threatening disease or  are  diagnosed with a terminal illness, or thrust into a life-threatening situation such as combat or a natural disaster,  most of us don’t consider  about how or when we will die. But in truth we all will die.

I have reviewed several books about death here . Not because I  wanted to write about death but because several good books deal with death sensitively and thoughtfully.

Books about death are sometimes written by a person who is facing death. Relatives write after a loved one dies- a child ,a spouse ,a parent. The motivation for writing these books varies as does the motivation for reading them.

I reviewed these books  because by understanding how other people and their families have faced death it may relieve our dread, anxiety, or fear  about dying and death. Often it is not death itself that we  fear but the dying process -the pain , disability, dependence, isolation, unfulfilled dreams.

In an essay  for JAMA, Dr. Zachary Sager, a geriatric and palliative care physician in Boston Massachusetts, described his response to  working with dying patients-

“I witnessed how people could be simultaneously resilient and fragile. I was moved by the connectedness between individuals.

I accept that death offers not only the expected reflection on life and mourning but an opportunity for a unique form of growth and healing. “

The books I reviewed share  common themes, and events yet are each unique as are the people in them who demonstrate both resilience and fragility.

I am posting excerpts from my reviews with a link to the entire piece. I welcome and encourage your comments about these books as well as any about how you  have navigated death in your family.

A 90 year old woman says “yes” to life

Driving Miss Norma tells the story of Norma Bauerschmidt, a WWII WAVE veteran, wife, and mother. She was still in good health at 90 years of age, until she was diagnosed with cancer.

Her doctor recommended surgery to be followed by chemotherapy, and warned her the treatment and recovery would be long and difficult. She told him no, she would rather “hit the road” with her son and daughter-in-law and enjoy her life, seeing and doing things she had not had a chance to do before. And her doctor agreed, saying that is just what he would do.

Driving Miss Norma - a book cover

Tim, her son, and Ramie, his wife, had already been living a nomadic life, travelling the country with their standard poodle Ringo in an Airstream travel  trailer they parked in campgrounds and  Walmart parking lots. They enjoyed travelling, seeing new places, meeting new people. They wondered how adding a 90 year old woman to their wandering lifestyle would work.

Driving Miss Norma- a book review

A young mother who chose life

A few months after their baby Indiana’s birth, Joey  faced the recurrence of cervical cancer diagnosed and treated years before. Despite more surgery, radiation and chemo the cancer persisted until further treatments were futile and and likely to cause more suffering. Joey decided to leave their Nashville farm,her horses, chickens and gardens, to move home to Indiana to spend her remaining time with her extended family.

To Joey, With Love

Faced with the persistence of the cancer

“Joey decided to come home-not to die, but to live.”

To Joey, With Love- a movie review

A physician who faces his own mortality

Dr. Paul Kalanithi was a 36-year-old resident physician who had, as he wrote, “reached the mountaintop” of anticipating a promising career as a neurosurgeon and neuroscientist. He had a loving wife, a supportive family and professors who respected his knowledge and skill. He seemed destined to be sought after, well paid, productive, successful, and  famous.

WHEN BREATH BECOMES AIR- a book

(note: a neurosurgeon treats  brain, spinal cord and nerve  diseases such as brain tumors that can be cured or improved with surgery,)

Unfortunately, “the culmination of decades of striving evaporated” when he was diagnosed with an aggressive form of lung cancer for which the prognosis was bleak, even with treatment. He was admitted to the very hospital where he trained as a neurosurgery resident, now  to learn what it is like to be a patient with a potentially terminal illness.

When Breath Becomes Air- reflections from Dr. Lucy Kalanithi

Thank you for joining me to remember and honor Norma, Joey, and Paul. I appreciate their families’ generosity in sharing their stories and the HEART of health.

Dr. Aletha stethoscope with a heart