One, is that ever since I got pregnant with Anand, I've been beset by pimples. My doctor says that this is not an uncommon reaction to the testosterone. Pfui. I'm not good at dealing with them, but now that life is finally returning to normal and I have a little time for self-care (as opposed to student-care and child-care), I'm trying a combination of the tablet my doctor prescribed and some medicated face wash.
Here's the thing. My doctor is a family practice doctor, not a dermatologist. And when we talked, she said that since we've been battling this acne for a while (we tried a course of the tablets in March, which worked, but then they recurred starting in September and have gotten worse again), I might want to consider a chemical peel; she thought it would help with that active acne, and possibly with the acne scars too. And we talked some about the pluses and minuses of that process, and she'll have her office check whether my insurance covers it, and then I can decide if I want to do it.
But when I was talking to a pediatrician friend about this, her reaction was that I should definitely not let a family doctor do a chemical peel or microdermabrasion on my face -- that there are keloid scarring risks, and that a family doctor isn't qualified to handle this kind of thing, and if I want to do it, I should go to a dermatologist. And okay, that sounds reasonable, but it feels a little weird/insulting too -- I like my family doctor, and if she says her office does these procedures and she's comfortable with them, is there really any reason not to believe she knows what she's doing? That's question one.
Question two is more of a ethical one. Her office sells medicated washes / blemish sticks / moisturizers. And, okay, they're not that expensive -- no more so than salon products. And I do find it reassuring having a doctor tell me that these are actually useful products that will work, as opposed to my somewhat randomly choosing something off a shelf in a salon or drugstore. But it feels a little -- iffy. To have a doctor shilling patent nostrums, you know? But on the other hand, if these products are out there, and they work well, and they're priced reasonably, why shouldn't the patient have access to them with the guidance of their doctor? Ugh. I dunno. I ended up buying the wash and blemish stick, but not the notably-more-pricey moisturizer, and I'm not sure if that was reasonable, or if I somehow got taken. My pediatrician friend does not seem to think too highly of my doctor after all this, and I don't know if I should take that seriously. I like my doctor otherwise, but I don't know her that well -- I just started seeing her this year, and this is the second time we've met.
And now here's question three. I've been having fairly serious neck and back pain for a long time now, and have just been living with it, but at this point, now that I'm done breastfeeding, I'm considering breast reduction surgery. (My breasts are somewhere between DD and F, depending on who measures them, and I'm 5'0". It's a lot of weight for a small frame.) I've researched it a fair bit online, and the surgery seems like a reasonable approach, with a very high success/satisfaction rate. But I am, of course, hesitant to take on any kind of surgery, because, y'know, it's people cutting into me. And what about loss of sensation? I like sensation. It looks like my insurance may cover this, but I don't want to rush into it. On the other hand, I've been thinking about this for a long time -- several years, actually. I only waited this long because of the aforementioned breastfeeding. Still, I guess I feel like I could use some personal anecdotes / advice at this stage.
Whew. That's it. Any advice?