Advice Needed for Mid Suffering With Acne

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This advice goes for everyone .... use less body soap, or none at all when taking warm showers. Use a little on your privates and underarms to wash away the funk.

Don’t flame me.
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First off, sorry your daughter is going through this. The dermatologist from Bethesda used to make monthly visits to USNA, I checked with a buddy who is on the yard and they mentioned they still come. If not, she can always head to Bethesda for an appointment. This is a challenge as a young adult navigating their own healthcare... which is complicated by the military system. Learning to advocate for your own health is definitely a learning curve. She should be adamant about an Appt with a derm who can review her records for all things tried and a treatment plan that can be monitored and checked in on. It’s an art and science to learn this, but I encourage your DD to do it. Acne sucks there is doubt about it. Good luck to your DD.
 
I'm sorry! Did I indicate something that implies you didn't give good advice? I sincerely apologize if so. I didn't see where I replied as such. I think all the comments have been wonderful and I am beyond GRATEFUL for them and the forum. I would VERY much appreciate anything you can come up with Devil Doc! I appreciate and would be blessed to have any advice from people of experience with this. So thank you from my heart! Yes, I'm no dermatologist, but I would say yes...it's cystic in nature and deep seated. It's been a gradual worsening and as I said - wasn't there like this to start...so combination of age, hormone changes, diet, weather, humidity, sweat, blah blah blah have brought it out.
 
First off, sorry your daughter is going through this. The dermatologist from Bethesda used to make monthly visits to USNA, I checked with a buddy who is on the yard and they mentioned they still come. If not, she can always head to Bethesda for an appointment. This is a challenge as a young adult navigating their own healthcare... which is complicated by the military system. Learning to advocate for your own health is definitely a learning curve. She should be adamant about an Appt with a derm who can review her records for all things tried and a treatment plan that can be monitored and checked in on. It’s an art and science to learn this, but I encourage your DD to do it. Acne sucks there is doubt about it. Good luck to your DD.
Thank you. I appreciate it. I will do my best to tell her to contact the BMU and find out about the timing and steps. She's got to step it up on this, I know. I can't do it for her and am not trying to. I just am the mom and have empathy and see the effect and it's not in her nature to "demand"...but sounds like she'll have to do so
 
Thank you. I appreciate it. I will do my best to tell her to contact the BMU and find out about the timing and steps. She's got to step it up on this, I know. I can't do it for her and am not trying to. I just am the mom and have empathy and see the effect and it's not in her nature to "demand"...but sounds like she'll have to do so

The problem though is she can't go to Bethesda because they can't leave the yard right now....
Not sure that's gonna change any time soon either. So, it's BMU and someone coming there or nothing.
 
The problem though is she can't go to Bethesda because they can't leave the yard right now....
Not sure that's gonna change any time soon either. So, it's BMU and someone coming there or nothing.

The shuttle to Bethesda is still going. I know of Plebes who are going there for different stuff and upperclass going there for PRK.
 
The problem though is she can't go to Bethesda because they can't leave the yard right now....
Not sure that's gonna change any time soon either. So, it's BMU and someone coming there or nothing.
Leaving the Yard for personal liberty is different than medical appointments off-Yard.

There was a WRNMMC “duty derm” who would come over on a weekly basis to tend to a population inclined to acne and other skin issues. Not sure what the COVID practice is.
 
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Please do not respond with judgement or criticism - it isn't needed or wanted! If you have personally suffered or have a loved one who has dealt with the emotional and physical issues with severe acne, then you will have compassion. My daughter had typical mild (VERY mild) pimples here and there upon entry and through her plebe summer and first year, more flare ups. We all thought with better self care and changes in diet, rest, and hormone balance things would self resolve. They have not. Things have spread and worsened. She's fortunate that some of it she can now "cover up", but the emotional toll and physical (some of the nodular ones she gets really are very painful) have affected her a great deal. On one visit last year to the BMU she tested the waters and asked if isotretinoin would ever be considered, but seemed to hear it was unlikely. I think it's in the formulary, but not 100% sure of that. Yes - she's tried topicals and retinoids and about every product under the sun and bc pills all to no avail. She wants the emotional and physical freedom from this prior to commissioning and finds it all so embarrassing. To her credit she has kept a positive attitude for the most part, but I really see the toll. When home she had a slight improvement, but it clearly is the type of acne (deep under the skin) that is only going to really get clear with a course of isotretinoin. She is NOT one to do anything out of process and I just don't know if any of you have any advice or positive comments that BMU WOULD prescribe this? Again, please don't judge and dismiss this or berate me for the post - whether male or female this stuff affects a young adult. Thank you in advance.
hi - I dont have a mid with your daughters situation but I do have 2 kids that have been on acutane and I can tell you its life changing!!! it is a complicated medicine to be on with blood tests to watch liver functioning and women have to be on birth control bc of the birth defects - there is an online website that they have to log on before every perscription refill stating what birth control is used. It is a fantastic drug but does have side effects both my kids experienced different ones from nose bleeds, joint pain, depression and severe dry skin but both would tell you they would do it again - it cured it!!! once you off the drug ALL the side affects go away within 4 weeks - now they get the occasional pimple but no big deal - I feel your pain I know its so hard to see your kids suffering with severe acne - hang in there and have her get to a dermatologist that will support her and give her the drug - I dont know the logistics of the academy and drs but I sure hope she gets the help she needs!!! it will be so worth it and she will be so much happier!
 
I would suggest considering research into detox protocols and keto or paleo diet options. There is a lot of information out there on the connection of diet and skin conditions.
Low sugar, lots of vegetables, quality protein, good quality fats, organic, etc.
A long term, sometimes difficult approach for sure, but one that might help address the root causes.

Also concur with the advice to limit body wash with lots of weird chemicals and fragrances.
 
I would suggest considering research into detox protocols and keto or paleo diet options. There is a lot of information out there on the connection of diet and skin conditions.
Low sugar, lots of vegetables, quality protein, good quality fats, organic, etc.
A long term, sometimes difficult approach for sure, but one that might help address the root causes.

Also concur with the advice to limit body wash with lots of weird chemicals and fragrances.

I’m a fan of those foods too but unfortunately making them a cornerstone of a mid’s diet is not feasible due to the reliance on King Hall which incorporates a lot of refined carbs for their low cost to calorie ratio. But I digress.
 
hi - I dont have a mid with your daughters situation but I do have 2 kids that have been on acutane and I can tell you its life changing!!! it is a complicated medicine to be on with blood tests to watch liver functioning and women have to be on birth control bc of the birth defects - there is an online website that they have to log on before every perscription refill stating what birth control is used. It is a fantastic drug but does have side effects both my kids experienced different ones from nose bleeds, joint pain, depression and severe dry skin but both would tell you they would do it again - it cured it!!! once you off the drug ALL the side affects go away within 4 weeks - now they get the occasional pimple but no big deal - I feel your pain I know its so hard to see your kids suffering with severe acne - hang in there and have her get to a dermatologist that will support her and give her the drug - I dont know the logistics of the academy and drs but I sure hope she gets the help she needs!!! it will be so worth it and she will be so much happier!
I would suggest considering research into detox protocols and keto or paleo diet options. There is a lot of information out there on the connection of diet and skin conditions.
Low sugar, lots of vegetables, quality protein, good quality fats, organic, etc.
A long term, sometimes difficult approach for sure, but one that might help address the root causes.

Also concur with the advice to limit body wash with lots of weird chemicals and fragrances.
Yes. I 100% agree and believe that in part it helped calm it down whenever home, but the reality is....diet and food at Bancroft is what it is...
 
I answered the OP hours ago with the statement in quotes. I literally called into the bowels of brigade medical which I do often with my contacts around the world. The OP described what sounds like cystic acne. She doesn't have time to mess around with topical meds or lesser antibiotics if she wants to meet her division or platoon with a clear face. I would go with the big guns so I asked about Accutane which is what OP asked about. Here's what my colleague said:

"Hi Senior, yes there are multiple providers at brigade medical that have taken the training and enrolled in the registry to allow them to prescribe Accutane. One of the PAs said they have a fair amount of people on it."

Here's why I wrote what I did several posts ago. I don't mind getting passed by in the "Like" category or not have my posts and advice acknowledged. In fact, I continuously question why I spend so much time here other than I've made a few friendships which in this pandemic world is as good as it gets with me and friends. I get marginalized here all the time. Maybe it's because my son is not of the Academy. He's just a state college grad but I tell you that the top officers in the Marine Corps line up to work for and with him. Those who know they can't measure up wait in the battalion office for an easier job to open up. Maybe it's because I'm just an enlisted guy, but I really encourage those here who do not know what an Independent Duty Corpsman is to look us up. IDCs are the first healthcare providers for about 80 percent of the Navy and Marine Corps operational forces. When America's little darlings get sick or zits or a tummy ache, the Doc they go to is an IDC. Yeah I retired as just a Senior Chief. I had a bad day with EOD and some knee surgeries later was put on LIMDU. That's not light duty but an administrative action that effectively ended my career at 26 years. Before I retired though I spent time at he highest levels of operational. training, and administrative Navy Medicine. I'm sure many of my posts are offensive to some and sound bragidosous and I know that bragging about my son who is a rock star in his arena is doubly offensive, but I won't apologize for that.

I think more real world stories should be told here to let parents and their children know what they are getting into. This is no game. Ask the parents of the Marines and their Corpsman who were killed and injured in the AAV accident a few days ago.
 
@Devil Doc , please don't go. I really value your common sense advice and real world perspective here. Perhaps it is because my son is also an Independent Duty Corpsman. More specifically, an SOIDC/SARC. I am pretty appalled at the lack of respect he gets from ignorant people who seem to think all enlisted people are stupid. My son has saved more lives than most doctors, including the life of a USMC General. In his hospital rotations during training, he has performed C-sections and even an emergency surgical amputation when the ER doctor was afraid to do it himself. And keep bragging about your son. He is an inspiration to those who perhaps were denied admission to a service academy. Good and bad officers come from all routes. Thank you for your contributions.
 
I answered the OP hours ago with the statement in quotes. I literally called into the bowels of brigade medical which I do often with my contacts around the world. The OP described what sounds like cystic acne. She doesn't have time to mess around with topical meds or lesser antibiotics if she wants to meet her division or platoon with a clear face. I would go with the big guns so I asked about Accutane which is what OP asked about. Here's what my colleague said:

"Hi Senior, yes there are multiple providers at brigade medical that have taken the training and enrolled in the registry to allow them to prescribe Accutane. One of the PAs said they have a fair amount of people on it."

Here's why I wrote what I did several posts ago. I don't mind getting passed by in the "Like" category or not have my posts and advice acknowledged. In fact, I continuously question why I spend so much time here other than I've made a few friendships which in this pandemic world is as good as it gets with me and friends. I get marginalized here all the time. Maybe it's because my son is not of the Academy. He's just a state college grad but I tell you that the top officers in the Marine Corps line up to work for and with him. Those who know they can't measure up wait in the battalion office for an easier job to open up. Maybe it's because I'm just an enlisted guy, but I really encourage those here who do not know what an Independent Duty Corpsman is to look us up. IDCs are the first healthcare providers for about 80 percent of the Navy and Marine Corps operational forces. When America's little darlings get sick or zits or a tummy ache, the Doc they go to is an IDC. Yeah I retired as just a Senior Chief. I had a bad day with EOD and some knee surgeries later was put on LIMDU. That's not light duty but an administrative action that effectively ended my career at 26 years. Before I retired though I spent time at he highest levels of operational. training, and administrative Navy Medicine. I'm sure many of my posts are offensive to some and sound bragidosous and I know that bragging about my son who is a rock star in his arena is doubly offensive, but I won't apologize for that.

I think more real world stories should be told here to let parents and their children know what they are getting into. This is no game. Ask the parents of the Marines and their Corpsman who were killed and injured in the AAV accident a few days ago.
Thank you SO MUCH. Your advice was perfect and beyond helpful. I am grateful.
 
Just to add a little levity ...and since I know absolutely nothing about the subject -- just be thankful that Devil Doc didn't just prescribe a handful of Vitamin M (Motrin) and tell you to walk it off !

On the serious side ...there is no such thing as "just an enlisted guy..." Devil Doc brings a perspective that most of us don't have, and that perspective is invaluable, particularly to the Candidates themselves who will soon learn that there is a lot to be learned from a Senior Chief.
Beyond that, he is probably in the top 5 of Forum Members that I would like to have a beer with !
 
Senior Chiefs and corpsmen with IDC qual to boot - some of the very best humans on the planet. All the magical can-do of a Senior Chief plus the medical savvy of a highly trained corpsman. The only people higher are the mythical beings known as Master Chiefs.

One of my best Senior Chief HM stories occurred in the days immediately after 9/11 at the Pentagon, when the Navy Staff was holed up and camping at what used to be called the Navy Annex up the hill. I hadn’t been home in about 3-4 days, too much to do, and like everyone else, was underslept, smelly and driven in those days of accounting for personnel, assessing damage, re-building the staff, restoring communications, gearing up CACO, trying to function, etc. I was walking down the hall coughing with a definite wheeze. The HMCS passed me going the other way, wheeled around and asked me what was wrong. I had just that year been diagnosed with adult-onset asthma, and my inhaler was in my stuff in the Pentagon ruins. My other meds were at home, and I hadn’t taken them since the AM of 9/11, plus I had breathed in some serious stuff that day. The area around the Annex and access were under tight control, I was flying from one meeting to the next, so I hadn’t figured out when I was going home or how I could rendezvous with DH bringing Rx. Senior Chief took me in tow down to his office in the CMC Marine Corps part of the Annex, did a quick check-up, pulled a new inhaler out of his magic cabinet, called the Navy Captain pulmonologist I saw over at NNMC Bethesda (now WRNMMC) at the time, got the Rx called into the pharmacy at Ft. Myer, sent a corpsman over for it, and walked me back to my office, and then brought me the Rx later. I think he ordered my 3-star to not allow me to go back into the Pentagon for any reason until we were cleared to move back down there. I had been back over several times as classified material was pulled out and inventoried, to check on what Navy spaces might be salvageable in company with the Pentagon facilities staff, morale and welfare visits to the many people working the site, etc. He ordered me to go see my pulmonologist for a full check-up and to be sure I got a detailed record of this in my medical record (for later VA purposes). I think after he found me, he made it his mission to go find others on the camping Navy staff who were still coughing, and get them seen. A brilliant combination of practicality and compassion.

I recognize we have strayed a bit from midshipman severe acne, but it was an opportunity to highlight the quality of military enlisted medical personnel.

The midshipman in this case mentioned the issue as a “hand on door knob” item, which lessened its impact. The goal is an appointment with a derm, an opportunity to discuss history and treatment so far, and develop a treatment plan for her specific case, as many have mentioned. That is in the mid’s hands right now, to act with confidence in her pursuit of treatment and believe she has the right to advocate for herself.
 
I'm kind of embarrassed that I used a new member's post to go off on.

I should not have done that. I had no reason to nor excuses for why.
 
No way. Your writing and comments were amazing. Man, it's a blessing to have someone with your background. I'm just praying and praying that your advice, which I absolutely passed along, will be heeded. I can't manage or control it, I can only help to secure advice and pass it along. Parenting, not controlling because I do not have the background like so many like you. I'm just worried I said or did something wrong.
 
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