Mirvaso Topical Gel, Part 4

Last week, was the "healing week." On Monday, I experienced another embarrassing flare-up on my cheeks, but it was short lived, compared to the previous episode of flushing. Monday was my last visit from the complete face redness.

Last week, I did notice that my face is very dry. My skin is sensitive and I have been using products to correct that issue. As of this posting, my face feels rather normal compared to where I was at last week. Before, I had pain, then stinging, and now all of that has subsided. I think once the dryness is alleviated, then my red-face will be done. I'll see where I am at in the coming weeks.

I have done research online and noticed there are few resources about Mirvaso and Onreltea. I did see the big, red banana in a Mirvaso commercial posted on YouTube. Yes, that was my face after using Mirvaso! Geez!

I would be interested in receiving comments from other people who have used it and are experiencing positive results from its application. I want to use it and have the beneficial results remain. I am tempted to try it again over my Christmas holiday break, but I am not so sure. Perhaps, if I used moisturizers with it to abet the dry skin. Also, I wonder if using a single pea-size on my face would alleviate the extreme reaction?

It's under consideration! Until then, enjoy the red banana. Ha! Ha! It looks wrong!

Mirvaso Topical Gel, Part 3

Okay, today has been extremely better! My skin didn't have a major meltdown today. The only redness I have noticed is in the last hour. It is on my right cheek next to my nose. Instead of heat, it is mildly warm and it has a tingly sensation, which is new.

I was thinking last night, after my last post, that it is interesting that my forehead and chin never displayed the same symptoms of the skin on my nose and cheeks. Both forehead and chin received a pea-sized application of Mirvaso. When I was having my 10 hour reaction, those parts of my face returned to their regular skin tone and color. It's too bad that my cheeks and nose didn't follow suit; otherwise, I could have continued on the Mirvaso treatment.

Hopefully, tomorrow I will be asymptomatic!

Mirvaso Topical Gel, Part 2

It has now been 3 days since I last applied Mirvaso to my skin. As I outlined in my previous blog, my dermatologist prescribed Mirvaso for rosacea. Unfortunately, for my skin, it did the exact opposite. It works well when applied, but after about 10 hours it loses its effectiveness. At that point, I say hello to the redness.

Today, you would think, would be a normal day. It was not. Today was a bad day for my skin. After my lunch, my face began its transition from its everyday appearance into its new red version. It started with my nose. I didn't realize it was happening at the time. Someone commented that my nose looked really red! I looked in the mirror and I could have been Rudolph's twin nosed brother. It was glowing, and yes, I mean glowing! My nose has never done that before. Then, if that wasn't bad enough, it began to spread to my cheeks. My nose turned to its normal color as my cheeks lit up. By the end of the work day, I was no longer Rudolph, but Bashful, from the Seven Dwarfs. (To tell you the truth, I think I had bashful beat, because my cheeks were rocking a full flush.)

Yes, people laughed at me. I heard comments like "Are you feeling bad?" "Do you have a fever?" "Ohmygosh, what is wrong with you?!" I was almost tempted to put the gel on my face to get the redness gone, but I resisted the temptation, and accepted the unsolicited ridicule that it brought.

So, it wasn't awkward at all. Thanks, Mirvaso.

As I write this entry, My nose is red, my jaw-line on the right side of my face is scarlet, but the middle of my cheek is pale white. It would make the birthmark on Mikhail Gorbachev's head jealous. If someone saw me right now, they would think I am a burn victim. My left cheek is its normal color at this time. It's cool to the touch, and the right is burning up. Is that normal?

I am thankful that it is the weekend. It is my sincerest hope that it will subside shortly. I don't know why the effects of this medication are lasting so long. I would have thought it would wear off by now. My body is on overdrive, it would seem. I'm not sure if this is an allergic reaction or just a symptom of withdrawal. I was just on the stuff for about a week! It's a topical gel, not cocaine. I think the FDA has a website for reporting adverse drug reactions. I may go there, because people need to know this stuff isn't benign. I'm sure many people use it without a reaction, but I'm in the minority (as usual).

As for pictures, I will probably take some for my dermatologist so she can have a reference for what I am currently going through. If it isn't better by Monday, I will have to call or go back to the dermatologist's office, because I can't function in this condition.

I think Galderma markets this drug as Onreltea in Canada.

Mirvaso Topical Gel

My dermatologist recently prescribed a medication, Mirvaso, for the treatment of facial erythema, which is better known as rosacea. I am of northern European ancestry, which means that my skin is quite light and prone to redness around my nose, forehead, and chin. I was very excited when my dermatologist suggested this medication, because my face is never a single color. There are usually red blotches, which range in size.

After my first application of this gel, I was able to see an evenness in my skin tone. The redness was gone and my skin looked smooth as if I were wearing foundation. It was a truly exciting time for me!

Galderma Laboratories, which manufactures Mirvaso, suggests that a pea-size amount be applied to the forehead, nose, each cheek, and the chin. Of course, you work the gel into your skin. My skin quickly absorbed the gel, which I liked.

As I said before, my skin usually exhibits signs of redness, but it's not readily noticeable to other people. I don't have the jolly cheeks of Santa Claus...until now. That's right. The drug, brimonidine, wears off after about ten hours. It's not that my skin simply goes back to the way it was before I applied the medication. Instead, my skin went bright red. In fact, my cheeks looked almost purple! And the unsightliness of my appearance wasn't enough. It literally hurt. My cheeks, especially, felt as if they were on fire. I was at the point where I was applying the gel twice a day to keep the redness and pain under control.

After a week of regular use, I have quit this medication, because of the side effects. Unfortunately, I am still experiencing the side effects. After almost 48 hours of being Mirvaso free, my skin is still prone to breaking out in random, fiery redness. I am using cold compresses and ibuprofen to counteract the effects of the medication. As I write this, my face looks fairly normalized in appearance. My skin has a "just got back from the beach" look to it. Happily, the pain is gone.

I hope that my skin will return to its "old ways" in the next 24 hours. I can handle that!

My suggestion for using Mirvaso is to make sure that you suffer from severe facial erythema. If not, I would not recommend using this medication. It is certainly meant for people who have heavy duty skin redness, and not for casual use.

Doctors

When I was younger I had never heard of a physicians assistant or advanced nurse practitioner.

As a consumer in the medical field, I expect to get what I pay for. I am quite verbal about this issue, in and out of the doctor's office. A few years ago I had an experience with an advanced nurse practitioner. I went to the doctor with a bladder infection. It burned when I urinated, yes it was embarrassing, but I was okay with it since I was going to my doctor for treatment.

I waited in the waiting room, then I waited longer in the exam room. The door opened and someone I had never seen came in to talk to me about my bladder, and how it is uncommon for men to get bladder infections. Yes, I am quite uncommon. I was very nice as I asked the million dollar question, "When is the doctor going to come in and see me?" After all, I was paying to see a physician, not a less trained professional. She told me that she would be taking care of me. Then I got a bit brutal.

It hurt to piss, after all.

I said, "I think I'll wait and see the doctor." I was quite sure of my position. "He won't be able to see you today, because he is with other patients," she said. First of all, I called and made an appointment with the doctor, not a prescription-pad-toting Nurse Ratchet. Second, I don't like people telling me what I will do.

By this time, I had my little plastic cup in hand for the urine sample. I calmly explained that I would expect to see the doctor after I filled-up the cup to the line--no less--with my liquid waste. She was pretty certain she would be doing the post-piss diagnosis. By that time I was using words like "insurance fraud." I did, yes, ask if I got a discount by seeing her. The cost was the same. That just didn't set right with me.

(I am a teacher. I am required by law to perform my duties in and out of the classroom, not my teacher's aide. Naturally, it seemed to me that the doctor should be performing his duty to his patients, not his assistant. I don't care how gifted she is with a stethoscope.)

To make a painful story short, the doctor was the one who gave me my diagnosis and wrote the prescription. My self-advocacy as a consumer had won the day! I'm sure, however, my bitchy attitude played a small part in my victory.

As a result, I no longer see that doctor. I feel it is the height of poor manners to expect your patients to accept a substitute when they seek medical care. I now have a doctor who does not even employ physician's assistants or advanced nurse practitioners.

Good for me!

Robotic Surgery

For as long as I can remember, I have been mesmerized by the human body and its inner-workings. That is why I like to watch health education shows; especially, those that show real-life surgical procedures.

Gruesome? Maybe, but it makes me happy on a cloudy day.

Recently, I have stumbled on a new and growing technology that is going to revolutionize the way we experience surgery. This device is called the da Vinci Surgical System (created by Intuitive Surgical). It is a robotic system that allows for very small incisions, in order to perform very delicate procedures.

In the area of cardiothoracic surgery, the benefits are infinite. The sternum of a patient is cut open and the rib cage is forced apart, during a traditional heart operation. The use of the da Vinci robot requires only a low number of very small incisions, which allow access through the ribs' natural spaces and below and beneath the rib cage. This allows the surgeon to operate the robot in a very tight space, without opening the chest. This minimally invasive procedure also has another added benefit; it doesn't require the heart to be stopped and the patient placed on a heart-lung by-pass machine. Many patients are able to resume normal activities within 1 to 2 weeks; whereas, patients who undergo traditional thoracic procedures require 1 to 2 months to recover!

I am glad to live in an age when medicine is growing by leaps. Perhaps, the actual act of surgery no longer has to be as debilitating to individuals as the disease it treats. The idea of heart surgery has always been fearful to me. I hope that I never require it, but if I do, I feel better knowing that there are more options available to me than being semi-butchered on the operating table to save my life!