Kallie's Derm Appointment

We saw Dr. Swain again today b/c we were worried about the way her face looked while this collodion layer is peeling. She was concerned about the white spots on her forehead that she called pustules (spelling?). She said that it was a possible that it was sweat bubbles but could also be yeast or bacteria. She cultured it and said that we wouldn't know for about a week on that. She gave us a few topical ointments to go ahead and start treating it. One of them is an exfoliant to go ahead and get that collodion layer off. She also suggested switching from the Aquafor to just Eucerin lotion b/c the Aquafor is so greasy. I have already used the Eucerin lotion and I think it works as well as the Aquafor but looks better b/c she is not as greasy. We are also going to start using Cedaphil body wash and I also got some of that lotion to use as well.



She seems to think that the way her arms and legs look now is going to be how they look long-term so now we just come to terms with that and start figuring out how to manage it as best we can. I asked her if the idea was to keep it moist or dry, and she said that there wasn't a right or wrong answer, so obviously I am going to go with moist b/c it looks better and I have to imagine feels better. I asked about baths, if I could at least soak her in water more than once a day before putting the lotion on b/c it seems to make her skin more moist and she said that right now that was fine, it wasn't going to cause any problems.



I asked her about Kallie's ability to sweatas that is a big concern for me and she said that at this point we don't have any way of knowing b/c infants in general can't regulate their body temp well so thats going to be a wait and see kind of thing.



The frustrating part is that there just are no right and wrong answers, no black and white way of managing this. But the bottom line is she is healthy and happy, we just need to figure out how to manage it and that will come with time. We see the doc again next Wed to follow-up on the white spots on her forehead.



Please keep the prayers coming!