Tag Archives: La Roche Posay

Eye problems when you are on medical drugs

Eye Problems

 

My eye

 

 

Many friends with cancer report having problems with their eyes.

I found it can be scary when Oncologists brush aside our concerns.

 

 

 

Tamoxifen

 

No-one warned me eye problems might be a side effect.   A week after starting Tamoxifen, when I woke up, all I could see was a greyish-yellow film across my right eye; nothing else.

 

Thinking the worst, I rushed to my Oncologist;  he told me  “I’ve never seen this before – I am sure it isn’t anything to worry about”.

 

 

Oh yeah?  The callousness of some medics defies belief.

 

 

Phoning Revd. David Brown, ex-Chaplain at the Royal Marsden Hospital, he told me “yes, a certain percentage of patients on Tamoxifen do suffer from blindness, but generally it disappears within two months”.

 

 

David was right.  So if he knew, why didn’t my Oncologist?

 

 

He recommended I went to see Michel Guillon, a French specialist from Nice, (and a devotee of Garibaldi (also born in Nice).  He had held a senior position at Moorfields Eye Hospital in London, and knew all about Tamoxifen – and he wasn’t an Oncologist!

 

 

Prof. Guillon said it is possible in a very, very few cases to get Tamoxifen poisoning, but this is rare.  After subjecting my eyes to a fascinating range of high-tech tests, he said in my case it wasn’t Tamoxifen poisoning, and eventually my eye-sight would return. Phew!  And he was right, but I still have eye problems but nothing like as serious as the first.

 

 

Aromasin

 

 

Eventually I was changed over from Tamoxifen, and ended up on Aromasin.  Same vicious side effects, but this time my eye was red and painful, and I needed steroids to stop the pain.  Several were tried, but the one that worked was Dexamethasone (Maxidex).  This worked extremely well, and I was soon able to stop taking Dexamathasone.

 

 

Once the course had finished, I was recommended to use Rohto, an over-the-counter remedy,  and now, if I feel a recurrence, I just use Rohto again.

 

 

Behaving like children

 

 

What shocked me when I had problems with my eyes was the attitude of doctors.  We only have two eyes, so they are very precious.  If one goes, the other could be lost in an accident – and then where are you?

 

 

Seeing the Oncologist at the Cromwell Hospital, and him saying he had never seen Tamoxifen causing blindness was incredible.  He must have read up the original clinical trials, as the Chaplain had done.

 

 

Then when the second eye problems turned up, again I was shocked at the way the eye specialist I ended up with at the Royal Marsden was so dismissive of Prof. Guillon.  Later I took the greatest delight in sending an email with information about the well-documented research and papers that Guillon had produced.  On my next visit the specialist was so polite!

 

 

So don’t let doctors brow-beat you. They don’t know it all, and those that won’t listen to patients aren’t helping those of us with cancer.  Those who do listen – such as Michel Guillon – are treasures, and their expertise and reassurance are an incredible support.

 

 

Cancer Research UK says
Eye problems are possible long term side effects of tamoxifen, but “they are rare.  There have been reports of visual disturbances including corneal (front part of the eye) changes and retinopathy (non-inflammatory damage to the back of the eye, the retina).  Most eye problems go back to normal once Tamoxifen is stopped.  But blindness has occurred in a small number of people.  People taking tamoxifen are also thought to be at an increased risk of having cataracts (cloudy patches in the lens of the eye)”.

 

Dry Eye

 

‘Dry Eye” is a recognised side effect from drugs; causing soreness, burning, irritation and dryness.

 

 

An excellent eye-soother for our eyes is Rohto.  Along the way of my cancer journey, I keep on being put on different drugs, and they often produce runny, wet, painful eyes, with gritty residue that sticks up my eyelids.

 

Emma, who works for a medical PR company, recommended Rohto.  Knowing that her company tends to promote products that are medically-approved, I tried it out.

 

The liquid comes in tiny little plastic ‘bottles’, with one day’s dose in each.  It has a re-usable cap so you can carry this around in your pocket and use during the day.  After about three days, I suddenly realised that runny eyes disappeared.

 

Now, I no longer woke up with my eyelids stuck together, and the pain had gone.  Bliss!  As the lotion is very gentle, I keep it in the medicine chest and use it when I have painful eyes.  Rohto is sold around the world, so ask a good pharmacist for the drops.

 

Helpful Tip

 

This comes from the Clinical Advisor, a magazine for doctors and medical staff:

 

“I encourage patients using ophthalmic solutions for allergic conjunctivitis to store the drops in the refrigerator for even more soothing results”. — Donna Mariano, FNP, Wallingford, Ct. (161-7)   So probably worth trying for any of our eye problems, if you ask your advisor first.

 

Brows and lashes

 

If you lose eyebrows and eyelashes, they usually grow back again, but may be sparse and sandy. Talking to doctors at the French spa of La Roche Posay, famous for their cosmetics that help patients with birthmarks and burns, they gave me a tube of their mascara they have developed for cancer patients (trust the French to understand what women want!). One end had a white thickening gel, the other a brown colouring. Used together, I looked into the mirror and film-star eye lashes appeared like magic!

 

La Roche Posay products are just starting to come in to Britain, and you can find them in major Boots stores.  Or you can try any good chemist in France, Spain, Italy, or  mail order:  O’Connell’s Pharmacy, 2 Grafton Street, Dublin 2, Ireland Tel: 00 353 (01) 679 04 67.

 

After all the stress, you are bound to have lots of lines under the eyes. Elemis sent me their Pro-Collagen Wrinkle Smooth pen to try out. Cynic that I am, I tested this under one eye, and, after two weeks discovered, as they say ‘lines were visibly reduced’. So I stopped being a cynic and use it under both eyes!

 

Another good rescue remedy is iS Clinical’s eye cream. See under Face  category for contact details.

 

 

 

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Event for Cancer patients – Who is there – and what Stands and Stalls

Kensington and Chelsea

Cancer Wellbeing Event

 

at Kensington Town Hall, off Hornton Street/High Street

 

Monday, March 26th 3 pm  – 7 pm

 

For Cancer Survivors, Carers, Doctors, Nurses, Therapists etc.

 

STANDS AND STALLS CONFIRMED

AGE CONCERN

With information re help after Budget and other cuts

BREAST CANCER CARE

Breast  Cancer Care provides expert, up-to-date information on all aspects of breast cancer and breast health :

  •     being breast aware and the risk of breast cancer
  •     types of breast cancer and how they are diagnosed
  •     the different ways of treating breast cancer and their side effects
  •     the impact of breast cancer on your wellbeing and relationships.

All our information is produced with clinical nurse specialists and breast care nurses and is checked for accuracy and relevancy on a regular basis.  The 0808 800 6000 Helpline has a team of knowledgeable and sympathetic nurses who provide information on breast health questions, Services, Improving wellbeing sessions, Relationships and body image sessions – and someone to talk to.  www.breastcancercare.org.uk

CITIZENS ADVICE BUREAU

Advice on Benefits

MARK DAVIES – Inspirational and funny speaker  http://www.savingmyarse.co.uk/download.php

EUROPA DONNA  (ED), the European Breast Cancer Coalition, is an independent non-profit organisation whose members are affiliated groups from countries throughout Europe.   ED represents the interests of European women regarding breast cancer to local and national authorities as well as to institutions of the EU.

www.europadonna.org

FLEXITOL This company’s products can be obtained on NHS prescription;  well worth remembering if you suffer from rough, hard skin on your feet.

FINISHING TOUCHES

Graduates from Finishing Touches are able to offer a diverse range of treatments including cosmetic and medical tattooing for eyebrows, eyeliner, lips., Nipple and Areola complex, scar reduction, tattoo removal, skin graft improvement, skin camouflage.   Anywhere where colour is missing from the body an FT technician can help.

Finishing Touches are  the largest medical and cosmetic training and product supply company in the UK.   Their  techniques are safe, subtle and make a huge improvement to peoples’ lives.  Technicians are based throughout the UK, including Holland Park, Harley Street, Harrods Urban Retreat, etc.   To find a technician in your area, see  www.finishingtouchesgroup.com

Alternatively you can follow them on Facebook where they let you know of any reduced price treatment slots available on their training courses.

HEALTH TRAINERS are members of the local community who have been trained to support people in Kensington and Chelsea to improve their health and wellbeing.

Through free, one-to-one sessions a Health Trainer can work with someone to assess their current lifestyle and help set realistic goals in order to make healthy changes.

Health Trainers are also there to help people to make the best use of a wide range of excellent services and opportunities available across the borough, which could help to start improving their health.

The Health Trainers service is run by Westway Development Trust and commissioned by the NHS Kensington and Chelsea.

What can Health Trainers do for you?

  • Health Trainers offer support with; healthy eating, physical activity, mental & emotional well-being and stopping smoking.
  • Health Trainers offer up to six one-to-one sessions to help you achieve your goals. Sessions involve answering some questions about your health and lifestyle as well as setting health-related goals which your Health Trainer will help you achieve.
  • All sessions are free, confidential and can be accessed by anyone aged over 18 living in Kensington and Chelsea.
  • Health Trainers work from various locations across the borough. If the locations we use are not suitable for you, your Health Trainer will arrange to see you somewhere close to your home                                 healthtrainers@westway.org   020 8962 5730

INSURECANCER

Travel Insurance from Queen’s Award winning company.  They have investigated the best types of insurance for cancer companies, and also where you might – or might not – be advised to holiday.   e.g. you may be quoted a high price to holiday in the Galapagos, because it takes 14 hours to evacuate to hospital.

MACMILLAN CANCER SUPPORT

Macmillan provide practical, medical and financial support and push for better cancer care. Macmillan is a source of support, helping with all the things that people affected by cancer want and need. It’s not only patients who live with cancer, we also help carers, families and communities|. We guide people through the system, supporting them every step of the way. We fund nurses and other specialist health care professionals| and build cancer care centres|. But we give so much more than medical help. Macmillan helps over 900 independent cancer support groups across the UK.

People need practical support at home, so we provide anything from some precious time off for a carer, to a lift to hospital. People need emotional support, so we listen, advise and share information though our cancer support specialists, website and trained professionals|. People need financial help| to cope with the extra costs cancer can bring, so we give benefits advice, and grants for anything from heating bills to travel costs. Together we listen, we learn, we act to help people live with cancer.

Macmillan is a force for change, listening to people affected by cancer and working together to improve cancer care. People who live with cancer are experts by experience| . Together we use this knowledge to make a positive difference to the lives of people affected by cancer. This could be anything from getting a coffee machine installed in a waiting room, to bringing about changes in the law.

We fight discrimination – from challenging unfair travel costs and insurance policies to improving the national benefits system. Together we challenge the status quo, we push for change, we lead the way.   www.macmillan.org.uk

MUNRO HEALTH CO-OPERATIVE                                                                                                                                                                    is dedicated to the provision of complementary health care to people who would normally not be able to afford such treatments, as well as serving the wider community and targeting special needs.   Founded in 2002 by therapists from the Munro Centre for Complementary Health Care (founded by Lucille Munro, MBE in 1996). In addition to their work with the Co-Op, therapists also run their own practices. All therapists are fully qualified professionals in their field and carry full indemnity insurance.

Recent and current activities of the Munro Centre include:  Healthy Mind and Body Project funded by the National Lottery’s Big Lottery Fund (BLF)and South Kilburn New Deal for Communities (SKNDC) in South Kilburn (Brent) .  Volunteer sessions at the Albert Road Centre for special needs adults (Brent) .  Complementary therapies for residents of St Mungo’s Kilburn (Brent)  Complementary therapies for residents of St Mungo’s Great Guildford Street Southwark).   www.munrohealthcentre.co.uk

NAILTIQUES

Elizabeth Kirkpatrick and Laura Hughes will be on the stand to give advice on how to look after ‘cancer-suffering’ nails. For over 20 years nailtiques has been providing therapeutic hand and foot treatments for survivors. All their products contain a unique combination of natural proteins and conditioners which promote healthy nail growth and they understand what makes your nails flake, split and crumble.  Nothing fazes them!

Elizabeth has given me manicures, and believe me they can make your hands look really glam – however short the nails!  They advised me on which products  to use, and how to maintain and improve nails

AWARDED “Best Treatment for Problem Nails” for three years in a row, nailtiques Protein Formula is in InStyle magazine’s prestigious Hall of Fame

www.graftons.co.uk

NUTRITIONAL FOOD

ORGANIC PHARMACY

Our first store opened in 2002 at 169, Kings Road, and very soon we had complete synergy with our  customers many of whom are still with us today. More London stores followed, including one at 396, Kensington High Street. We still stick with our strong principles and pride ourselves on the passion that we share for quality, efficacy and above all a dedication to you.

Our aim is to bring you the best products, advice and treatments free from all the toxic ingredients commonly found in mainstream cosmetics and health products. ­From our herbal and homeopathic dispensary we custom blend herbs and homeopathic remedies to suit your needs.  Expert advice from our qualified professional team means you are able to fulfill all your health and beauty needs.

We believe that through informed choice, you the consumer should be empowered by knowledge so that you can decide what products to buy.

To this end we strive to give you as much information as possible. Whether you suffer from breast cancer, skin allergies and sensitivities or you want to optimise your skin and health, an informed, honest choice is your right, we encourage all our customers to ask as many questions as they need to and we are there to support you every step of the way.

PAUL’S CANCER SUPPORT CENTRE

This is oldest cancer support centre in Britain – probably in the World.  But it keeps up-to-date with new and innovative programmes, such as its Healing Journey.  Buses from Kensington and Chelsea stop outside the centre in Battersea, or near by: 28,  C3, 44, 170, 295, 319, 344, 345.

The centre is probably best known for for its Award winning team of Home Visiting Volunteers;  trained and supervised volunteers available in Wandsworth and nearby boroughs to visit people with cancer at home if they are housebound or find travel very difficult. The most frequently requested service is massage but we also offer befriending and some counselling.  It has a team of Cancer Champions:  locally many people are getting diagnosed with cancer at a late stage. Paul’s Cancer Support Centre is supporting the team of  volunteers locally , through which local residents run stalls at community events and talk to people about the signs and symptoms of cancer, and persuade them to go and see their GP if they have any of the possible signs.

The centre runs Outreach schemes with Asian, African and Caribbean Groups.

Paul’s Cancer Support Centre is conducting a needs assessment with community-based black and minority ethnic groups to gain an understanding of how best to improve the access these groups have to cancer screening, diagnosis and care. In partnership with some local organisations Paul’s then plans to run cancer awareness events in the community, responding to the kinds of questions and support needs that people have within those communities.

Their Coping with Cancer Stress on line course starts Wednesday 28 March at 7.30 pm and is suitable for people with only basic computer skills. Information from: www.healingjourney.org.uk/onlinecourse.html. www.paulscancersupportcentre.org.uk

 

PROSTATE CANCER ORGANISATION

RARER CANCERS STAND

Barrie and Pamela will be manning the stall on March 26.   We are supporting a number of Cancer charities and groups.
Guise and Dolls head and neck group is main one along with cancer Voices Lambeth Southwark Lewisham.
We will have leaflets on some of the rarer cancers and have contacted them with the help of  Cancer 52.  Cancer 52 represents 38 of the rarer cancers.

Barrie will also be making a photoevent and the photos will be available later for anyone who wants them.

SUPPORT STAND – with literature and information from support centres, etc.

SYNERGY HEALTH
Their innovative care at home products make life easier, and are available from Synergy Health’s Home and Freedom range, which includes continence care and personal cleansing products; home cleaning and disinfection essentials; and nursing care products.New to the product range is the Oasis Bed Bath System, which includes wipes and shampoo caps. Oasis requires no soap or water, so is kinder to the skin, quicker to use and offers many advantages to patients and carers when used in place of the traditional bed bath. Wipes can be warmed in the microwave or used at room temperature, to gently cleanse, moisturise and nourish the skin – maintaining softness.The new Home and Freedom catalogue is available online at www.synergyonlinestore.com. Orders can be made online, by post or by calling 0845 196 0625. www.synergyonlinestore.com

Visitors to the Synergy stand can take part in a draw for an iPod, kindly donated by Synergy Health.

URBAN RETREAT

Medical Tattoos

VIKKI ULLAH WIGS

 

 

Light therapy is forging ahead

LightbulbGlow

Image via Wikipedia

Researchers experiment

with light therapy

 

Hospitals in Europe are offering a ‘new’ treatment – light therapy.

I say ‘new’ – because the Greeks were using light and sun to aid healing over two thousand years ago;  they knew the benefits of light therapy when you were sick.

Now, as well as hospitals, some  over-the-counter-remedies also make use of light.  It’s all happening!

The first time I saw light being used as therapy was at La Roche Posay.  I had gone there to get help with skin problems caused by cancer drugs.  Showing me around, Dr. Lemoine said “we are researching light therapy to treat scars from burns”, and ushered  me into a room with a soft coach, and batteries of different coloured lights shining down from the ceiling.

He explained that this wasn’t designed for my conditions, but as I was a journalist would I like to experience the different lights that their other patients would receive?  So they left me there for half an hour, whilst different lights played across the ceiling.  I felt relaxed and happy as I came out – and promptly forgot all about it.

But I did notice as I travelled around Europe for the best treatment to help me with side effects, that many of the state-of-the-art clinics I visited seemed to be expermenting with light.  For instance, in Germany  Klinic Bad Sulza had banks of special lights to treat patients with Psoriasis.

Now, Mentholatum, the pharmaceutical company with lots of innovative ideas, has produced two small, hand-held torch-like devices, which might help with the problem of spots and acne, particularly if these are a problem due to cancer treatment.

Intrigued?  Will light therapy work for you?

Possibly.  Especially if you suffer from Acne or Cold Sores.

The Mentholatum range has two little gadgets using special lights, which are targeted on those who suffer from either of these distressing conditions.  As they say, “light has the potential to induce effects that are either desirable (diagnostic, therapeutic) or undersirable (toxic).  It is the selection of light of a specific wavelength, intensity and dose which results in the controlled therapeutic and beneficial use of light therapy”.

For Acne, there is a portable light system, Clearlight.  The size of a torch,                                                                                             it provides targeted treatment for spots and acne

This emits what is called ‘blue light therapy’, which has been used extensively for years by dermatologists for the successful treatment of spots, acne and blemishes. It has been scientifically proven that blue light at the specific wavelength of 415nm kills spot causing bacteria.

Part of the OXY range, Clearlight harnesses the healing power of blue-light technology in a safe and convenient hand-held device for home use. The Clearlight penetrates to the root of P. acnes, killing spot-causing bacteria and helping prevent spots from erupting.

It’s kind to skin, as the light emits NO heat, and NO harmful UV rays. It does NOT cause drying, peeling or discomfort, either.

You use Clearlight to treat active breakouts, or whenever you feel a spot erupting, to visibly reduce the appearance of spots and acne.  It can be used with your daily spot treatment, and whenever you experience a spot outbreak.

To use, all you do is press the power button and place the Clearlight device over the spot. Listen for the beep indicating that the therapeutic light is at work. The device will automatically switch itself off at the end of the 3-minute treatment cycle. Use twice daily, morning and evening, for 3 minutes until your spot has cleared.  It costs £24.99.

But, do not use Oxy Clearlight if you suffer from a photosensitive disorder (sensitivity to sunlight) or are taking any medication that prevents you from being exposed to sunlight.

For Cold Sores they have a device called LipZor to help heal cold sores.

LipZor is a patented, portable electronic device using light therapy to treat these nasty erruptions.  The device uses ‘light’ of a specific wavelength: 1072 nanomtres – to target tissues around the cold sore and improve immunological function, helping boost and speed up the light healing process.

The makers also claim that if you use the device as soon as you feel that ominous tingle, LipZor might help prevent an outbreak.   Zapping the outbreak area with this portable device you stimulate the body’s immunological function and help speed up the healing process.

In clinical trials healing time was reduced by up to three days, and can be used during the tingling phase, or later on, when that horrid blister breaks out.

Unfortunately, just shining an electric torch on a cold sore isn’t going to do much good.  The science behind this gadget says that the wavelength it delivers is critical, as the light needs to hit the tissue in and around the cold sore, to be absorbed by the photoreceptors within the tissue cells.  But using the right wavelengths helps Nature promote the body’s own healing response.

LipZor costs £39, and is obtainable in good chemists, whose advice you should follow when first using the device.

Fast forward a few years

Currently Scientists are expermenting on using light to target and destroy cancer cells in mice.

Researchers have designed a light-based therapy that allows the selective destruction of tumour cells in mice without harming surrounding normal tissue. This method of cancer therapy could theoretically work against tumours in humans, such as those of the breast, lung, prostate, as well as cancer cells in the blood such as leukemias, say scientists from the National Cancer Institute (NCI), part of NIH.

Current photodynamic therapy is not specific for cancer cells, resulting in damage to surrounding normal tissue. Therefore, the researchers in this study set out to develop a light therapy that could more accurately target cancer cells while sparing a greater number of normal cells, using photoimmunotherapy, or PIT.  This uses light to rapidly and selectively kill cancer cells.

 

 

 

 

 

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You are not alone with skin side effects

The layers of the epidermis (left). Melanocyte...

Image via Wikipedia

Helping your skin

We can all feel depressed – particularly when we face yet another skin problem during and after cancer treatment.

Before cancer I wrote about skincare, and realised how important it is to ensure your skin (male or female) is in tip-top condition.  It is our largest organ, and needs looking after.

It’s not vanity – it is common-sense to ensure you skin is as blemish-free as possible, with no cracks or lesions that can make you vulnerable to dirt, infection, etc.

And if you feel good and look good – your survivorship pattern will be improved.

What started this website was the callous indifference I experienced from doctors, particularly those who should have know better and been there to help me, not make me feel I was making a fuss about nothing, when I asked what I could do about massive skin problems.

But when a big bully of a dermatologist at a major cancer centre in London told me blisters and skin lesions that appeared overnight were “due to your age“,  I realised that the tales I had heard from other patients were true, and some doctors seem to delight in making one feel small and that we complain over nothing.  Well, if we don’t look after skin properly we get problems.

So started this website, and found patients all over the world sometimes have to put up with the same indifference.

This video shows we are not alone:

http://www.youtube.com/user/ItsYourCallonCN8#p/a/u/1/YWi966AvHxE

The women in this video are discussing a particular brand of skincare, but what they say can refer to any brand that has been properly developed.  On this website I mention different companies’ products, and those such as La Roche Posay, iS Clinical, Evoskin, Clinique, Dr. Bragi etc. have been developed by dermatologists and doctors specifically for cancer patients, and many products have gone through tough clinical trials.

So don’t think you are being vain when looking after your skin.  If you don’t look after it, you could be laying yourself open to infection, certainly wrinkles and other signs of ageing.

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Politicians blame patients – rather than poor NHS treatment

Drugs

Image by Jenn Raynes via Flickr

They’re at it again –

saying we don’t take up screening for cancer

so it’s our fault we have poorer survival rates than most European Countries

 

We are constantly told it’s OUR fault that our post-cancer survival rates are worse than the French and other European nations – because we don’t take up invitations for screening.

Yet the World Health Organisation says we have one of the best rates in Europe for take-up of breast screening, etc.

It has to be something else.

Trying to get doctors to listen

And one reason could total lack of help to handle side effects of hormonal drugs.

Doctors hand out these packs of innocent-looking tablets, then sit back and ‘pretend’ they don’t know what to do when we present with side effects.  I was told of the benefits of Tamoxifen, and how statistical graphs showed that I could expect to live longer if I took them for five years.

When I turn up with horrendous side effects, doctors were in denial:  they’d never seen these symptoms;  my side effects weren’t caused by Tamoxifen;  did I want to come off the drugs?  etc. etc.

Survey

An NHS survey showed over 60% of us receive so little help from doctors to treat these side effectsd (temporary blindness, dreadful skin conditions, hot flushes, nausea – the list goes on) that we decide to ditch the drugs.  Even though Herceptin, Tamoxifen etc. are proven to extend a cancer patient’s survival.

Reports produced by Dr. Louise Atkins and Dr. Lesley Fallowfield in Sussex and Thomas I. Barron and others at Trinity College Dublin say the rate of non-persistence with therapy is higher than previously reported. ….. (raising) concerns about persistence with other oral hormonal therapies for breast cancer and oral antineoplastics in general. Oncologists need to identify those at risk of non-persistence and develop strategies to combat this barrier to treatment success.

The surveys on Early Discontinuation of Tamoxifen: A Lesson for Oncologists
Thomas I. Barron, MSc 1 *, Róisín Connolly, MB 2, Kathleen Bennett, PhD 1, John Fely, MD 1, M. John Kennedy, MB 2
1Department of Pharmacology and Therapeutics, Trinity College Dublin, Trinity Centre for Health Sciences, St. James’s Hospital, Dublin, Ireland
and
Intentional and non-intentional non-adherence to medication amongst breast cancer patients.  Dr. Louise Atkins and Dr. Lesley Fallowfield, Psychosocial Oncology Group at Sussex University.

Should be required reading for ALL oncologists.

Both reports have been out for over five years, and indicated from 50-65% of patients may come off these drugs.  Side effects can cause problems, but leaflets produced by cancer charities etc.  don’t suggest possible solutions, and Oncology nurses are often unable to suggest ways to mitigate side effects, particularly concerning painful skin conditions.  So with no help,  patients come off drugs – either openly or covertly.

As a breast cancer patient, I was delighted with my treatment, until, a week after starting Tamoxifen, I woke with bloody sheets and blistering, peeling skin.  Creams suggested by the hospital were totally useless, but eventually, going to my private doctor, he prescribed steroids, which cleared this up.  Then another bout happened a month later. Side effects had targeted my skin, from hair to nails, and showing this to my Oncology Nurse she peeled off another skin layer, saying she couldn’t recommend any commercial products to help (and drugs aren’t commercial?!).

I was sitting stripped naked in front of a crowd of giggling students, when the senior Dermatologist at Chelsea and Westminster Hospital told me, “it’s your age”, then swept out before I could ask “why?”

So I was forced to ‘fight’ for treatment if I didn’t want to be the one who crept into the corner and decided to hide from the world.  I went to France, where their hospitals are well versed in dealing with these problems, and possibly why  France has a far better post-cancer history.

The doctors sorted out my problems, said that the side effects I was showing were ‘classique’ when on Tamoxifen, and sent me how with sensible, clinically-trialled products that sorted out my peeling, bloody skin.

Now, nurses in Britain say “you do have lovely skin” – but it’s no thanks to their treatment.

Russ Hargreaves of Macmillan Cancer Centre at Chelsea and Westminster Hospital once gave an excellent talk on ‘The Good, the Bad and the Ugly of Breast Cancer Treatments’ and why we were getting problems; reassuring us we weren’t alone. His ten-minute presentation gave an intelligent and understandable insight into what was happening to our bodies, and why we were having problems with side effects.

But unless doctors in the UK pay attention to side effects, our survival rates may slip even further behind Europe.

European women get advice about side effects, and expect this as a matter of course.  We are left to find out what to do for ourselve.  No wonder so many of us take up herbal medicines and other non-proven products.  But it is the doctors’ fault if we do – where else is the average person to find help?

Surely we have the right to expect that if we are given drugs – the doctors are taught what are side effects, and how to handle them?

But of course – silly me! There is little money in solving drug side effects, only in making the drug in the first place.  And of course, the Oncologists have far too much to do – without taking time as they do in France, Germany, etc. to listen to the patient and carefully work through different clinically-trialled products that could help.

And when I discovered that the Australian product, Flexitol, was fantastic at handling the horrible rough, sore skin that covered my feet and made walking a misery, my local GP tried to cancel it from my prescription – saying it cost money!  He thought that wanting to prevent bloody blisters, etc. was ‘just cosmetic’.

But I hear that at last NICE are being asked to approve La Roche Posay products, developed in France to help our skins counter cancer drug side effects, etc.   Eighty countries around the world prescribe their products for those of us with skin problems from side effects, but we are so behind the rest of the world in dealing effectively with side effects, it makes one weep.

End

 

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Sun care on the NHS!

Anthelios 50+Melt In Cream to be listed on NHS

.La Roche Posay’s anti-sun cream, Anthelios 50+, is listed on NHS lists.

If your doctor doesn’t know about this, Prescription should say 3957713 Anthelios SPF50+ Cream 50ml.

Boots tell me this line is in about 510 stores, but if not available in your local one, they can order if from central distribution, and it should be with you in about 25-48 hours.

So you can stay protected on a winter sports or winter sun holiday

This now means that if you are going on a winter sports or winter sun holiday, your doctor should be able to prescribe Anthelios cream for you, if you have had cancer.

Cancer patients are warned they must protect their skins, but up until now this has been expensive.  But parent company La Roche Posay has bit on the bullet, submitted their products to NICE’s testing – and in February are going to submit more products.

I have been using Anthelios creams for over two years, and haven’t had one burn mark – or even heated skin – even though I have been holidaying in more that 40°.  I love this cream, because it is absorbed immediately into the skin, and doesn’t leave white marks.  Being made by La Roche Posay it does my skin good – in fact I have never used a sunscreen that makes my  skin feel so soft.

The cream is water-resistant, but you must keep re-appying.  It is made in a clear formula, and also slightly tinted, for the face.  And if you have to buy it, it costs from £14 – £16 for a tube.

At last the NHS has seen sense;  it has always seemed crazy to me that our Government runs campaigns saying that we should protect our skin – then slaps VAT on to suncare products.

You are probably going to have to convince your GP that you should be protected – but you can ask the British Association of Dermatology for back-up information on how important it is for those who have had cancer to be fully protected.

www.bad.org.uk

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How to look after your face in Winter

Two cute Tibetan girls, friends, one wearing t...
Tibetan girl   Flickr

How to protect your face from wind, rain and other winter pitfalls


Michael Winner, food critic and film director, was moaning in his column that he always loses his glasses – so being very rich (as he keeps on reminding us), he bought 35 pairs to scatter all over his house.

Now that winter is here, I am going to follow his example and buy a lip balm for every room (not quite as many as he has).  I am determined to zap all rough skin and red patches  – and if I follow my own advice I hope to sail through winter with a dewy skin (well, that’s the idea!)

First, I need to Cleanse – Tone – Protect – Moisturise – and Guard against wind and sun.  Sounds a lot to do, but if you get it down to a routine it won’t take long – promise!

Of course, you could get your mother to smother your face in lanolin, butter or some other fat, as they do to children in mountain communities all over the world,.  There are still some communties that coat their kids’ faces and bodies with butter or something similar,  sew them  into clothes in the autumn and don’t cut these off until the summer sun re-appears.  Phew!  But apparently the skin underneath is lovely and soft.

But for less drastic measures, this is the way to go!

I mention different products made by different companies.  Being female I like to mix and match, and change my products – but every company I mention makes good products for all our basic needs.

Cleanse

Never, ever use face wipes.  Yes, I know nurses give them to you in hospital, but if you could see your face in one of those camera screens used by dermatologists, you would find they leave behind a fine, dry powder, so it’s no wonder      you come out  with dreadful skin, as they dry out your skin.

Always use a good quality cleanser, the best you can buy.  Elemis Pro-Radiance Cream Cleanser is doing a marvellous job on my face, and easily gets rid of dirt, grime etc.  leaving my skin soft.  Currently they have a sample size in their Pink pack for October, and the small bottle has lasted me over a month.

Tone

It’s always best to use a toner made by the same company that makes your cleanser, so I am using Elemis’s Soothing Apricot Toner.  I like the fact it has a spray pump so I don’t have to keep on taking the top on and off.

Protect

This is where Serums come in very handy.   I have been trying out iS Clinical’s Hydra-Cool Serum, and using just a few drops at night, in between Toning and Moisturising.  They have other serums, but for my skin this is the best one.

Moisturise -

Most companies make a different one to use in the morning, and a different one at night.  No, it doesn’t save money to use the same cream at both times, as each carries out a different function.  So always use a Day AND a Night Moisturiser.

Day:  I am trying out Chanel’s Hydramax + Active Cream, and it really softens and protects my skin.    Also, about twice a week, I use their Hydramax + Active Moisture Mask when I have a bath or shower, so that the steamy heat helps it to be absorbed into my skin.  Then I don’t wipe it off, but leave it on whilst I potter around the house, before putting on the Day skin cream when I go out.

It’s ironic that it was Coco Chanel who first made tanning fashionable, but recently the skincare company she founded has been making amends by producing lovely products that pamper and sooth our skin – so when you go past their elegant counters in stores, check out what is their latest product for helping our drug-dried skins.

Night:  I am using Elemis Pro-Collagen Marine Cream, not only because their products really do my skin good, but because they are tremendous supporters of breast cancer causes.  Thanks guys.  This cream not only works well, but it is very light so you don’t end up with greasy pillow cases.

Body care

Even in winter, winds and damp can penetrate beneath our clothers, and wreak havoc with out skin;  so you must still slap on the body lotion every day.  I am a real fan of Living Nature‘s clever packaging, and can write about the products as they are so good.  They make a lovely Lavender Hand and Body Lotion, which I use all over.  My skin likes the creaming, and I like the smell!  After all, Lavender is used as an antiseptic, so is very appropriate.

Your feet still need daily care with a good cream;  my favourite is Flexitol Foot Balm, which has the added joy of being prescribed by the NHS, so we get it for free (I hope you aren’t one of the thousands of cancer patients who are still paying for prescriptions?)

And every day, guard against wind and sun when you go outdoors.  I reckon this is the secret known to all good Skincare Consultants.  Recently, every time I have talked to one, whilst having a consultation or a facial, they all tell me  they don’t go outdoors without slapping on a 30+ sunscreen.  They should know, as their faces genuinely are their fortune;  what’s the first thing we do when we go for a consulation?  Yes, take a good look at THEIR skin!

If you don’t want to have horried dry, flaking lips, you will need a good lip balm;  around the house, as well as outdoors.  So I use a good Lip Balm like Rock Face’s Sheer Clear.  I went off and               bought half a dozen sticks, and there is one in every room, by my bed, next to my lap top, in the kitchen – and I use it constantly.  When I go out I have one  in the pocket of my ‘dog walking coat’ , and I always carry a Sheer Clear in my handbag, and use this as an undercoat whenever I use my lipstick.

And when you go outdoors, even when there are only grey skies, take a tip from the the best facial therapists and always wear sun protection.  Even on the dullest day there can still be sun rays breaking through the clouds, and they always wear it, “even on Christmas Day”, as one told me.  So I am a big fan of La Roche Posay, the company whose products are clinically trialled for cancer patients, and I am using their Anthelios XL 50+, which I reckon is strong enough to protect from any sun, especially if I go off on a winter holiday either in the sun or snow.  And an added bonus:  it is tinted so I don’t need a foundatio

Enjoy the winter, and hopefully you won’t have to dread the effects of wind and rain!


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Going ski-ing? Take a day off to improve your health

Snowboarder in the halfpipe.
Image via Wikipedia

Taking advantage of a winter holiday

As you head off to the slopes, you are going into an area that David Cameron says has better health care than offered in Britain.  So why not take advantage of being on the spot to get a top-notch medical MOT whilst you are in the area?

From Finland to Italy, European hospitals are up-to-date, work with new techniques and equipment, and very often if you have to pay for a consultation, are cheaper than the UK.

And friends who have taken half a day out to find out if anything can be done about niggling problems, come back raving at the service.  Comments like “I’ve been up and down Harley Street, and had to go to France to find out what was wrong” (Michael C), and “my knee just wasn’t right after a knock on the playing field – but it took an Austrian doctor who deals with Olympic skiers just spent a few minutes to find out exactly what was wrong.  I discovered afterwards that UK football clubs fly in their players to see him”  (Barrie F-S).

And if you have anything wrong with your legs, almost certainly the highly-experienced medical teams in ski resorts will be streets ahead of what the NHS can offer.

So it makes sense to go to a local medical centre, hospital, rehabilitation centre, medical spa etc.  and book in for a consultation to sort out medical niggles – or even get post operation and medical drug side effects sorted out.

It won’t be expensive – unless you are going to the creme-de-la-creme, Clinique La Prairie in Switzerland.  But if you can afford this you probably already include a check-up every time you visit the country.  The medical team there, led by Dr. Walli, are some of the top experts in the world.

So how do I find a suitable venue/doctor?

  1. Ask your GP.  Some are becoming very knowledgeable about European medical care.
  2. Ask friends – more and more British are ‘using’ European doctors, or have friends who live in the country and can recommend doctors/treatments.
  3. Send an email to the Tourist Board of the resort where you are staying.  It is their job to advise all visitors about what’s available in their resort.  Russians are fast becoming the most sought-after visitors, and they frequently go abroad for a medical check-up and a holiday.
  4. Or contact the Government-funded tourist board of the country which will be in London.  Ask them.  Some boards have a special department dealing with medical tourism, and they will all be able to refer you to centres approved by their relevant Health Ministry.

Warning! Before you make an appointment, go on the Internet, Google the clinic / doctor’s name, print out the information and ask your doctor to check the credentials.

What will it cost?

You will be given a list of prices;  if one clinic is very much cheaper than another, then you know why to avoid this.  Otherwise costs are often lower, in some cases much lower, than in UK.

Do they speak English?

English is widely spoken.  Speaking English is the mark of an educated person, and many have done training in USA and Canada.   I even met an eminent Swiss surgeon who had gone to Glasgow General because stitching up noses, ears and limbs after Saturday night fights “gave me the best training in invisible stitching”;  which is now used in plastic surgery on Hollywood celebrities.

What happens at appointment?

The Clinic system is almost unheard of.  You will have time to talk (very often the first appointment will be an hour).

You will have already given details of what is your problem, so the doctor/specialist will have a good idea of what you will need.  If they then say you need tests, scans, or to see another specialist, an appointment will already have been pencilled in so you will probably walk straight down the corridor into another room.

Most countries, particularly France, Italy, etc. have more doctors per head of population than we do in UK, so often the doctor will have time to spend a few minutes on ‘pleasantries’ and getting to know you, before business.  Not always though;  I went to see a brilliant dermatologist at La Roche Posay who may have spoken English, but as all he did was grunt – frequently – as he examined all my numerous skin lesions, I wasn’t sure!  But his visit did the trick!

What if I decide to go on the spur of the moment?

I have often done this.  In Europe if you think you need a doctor, you are regarded as being intelligent enough to decide this yourself.  What you may have to do, if you haven’t given the Receptionist enough information, is to go to a ‘gatekeeper’ doctor, who will then refer you on to the appropriate person.  You will have to pay for their services, but generally this is minimal, and you will see someone within a short time.

And don’t worry if the hospital your friends take you to is private or part of the country’s national health service.  Having been taken to a local hospital in the tiny town of Klagenfurt, in Austria, I was so dazzled by the shining chrome, spotless atmosphere and fantastic equipment I kept on handing over my credit card.  Which was refused – it was all part of their health service.

What should I take?

1.  Referral letter from your doctor – if possible faxed or emailed beforehand.

2.  All X-rays – if these were taken in an NHS hospital you may have to pay for these.  Again if they are on disc you can send these in advance, or your doctor will do this.

3.  Results of any tests.

4.  List of medicines you are taking with amount, numbers of times a day/week and if possible the brand name and the ‘medical’ name  (prescribed, over-the-counter and herbal supplements)

Finding more information, and remember in Europe Medical Spas often specialise in top quality medical rehabilitation:

AUSTRIA

Österreichischer Kurorte- and Heilbäder Verband (Association Health Spas and Centres)  http://www.oehkv.at

FRANCE

Official French site for thermal spas:at the moment it is in French, but it is simple to browse   http://www.cneth.org

Information on Medical Spas in the Rhone-Alpes region www.balineae.fr

http://www.france-thermale.org/

GERMANY

These sites are all official German health service sites:

http://www.german-medical-online.com/Category/Hospitals/
http://www.germanmedicine.net/

*Cancer Information Service (part of German Cancer Research Centre)
krebsinformationsdienst@dkfz.de

www.dkfz.de/en

German Cancer Association
www.krebsgesellschaft.de

deutsche@krebshilfe.de
http://www.krebshilfe.de/english.html

ls/clinics/medical centres

And enjoy a new experience!

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Latest research shows Skin cancer doubling

Cybill Shepherd moonlights at Madame Tussauds ...
Image by mharrsch via Flickr

Latest from Cancer Research UK highlights dangers from sun – celebrities aren’t immune

With the death rate from various skin cancers rising every year, sadly it is older people, particularly men, who show most shocking growth rate;  the number of men dying from the deadliest form of skin cancer has doubled over the past three decades.

For younger people, sunbeds have accelerated the growth of skin cancer, and there are moves afoot both in UK and USA to ban these beds, at least for those under 18 – but when will this happen?

One wonders if it was sunbeds that caused such a large number of celebrities to present with cancer?

Melanie Griffith, Cybill Shepherd, President Bush, his son George and Laura Bush, Bill Clinton, Ronald Reagan, Elizabeth Taylor, Princess Michael of Kent,   Scottish actor Ewan McGregor and many others are said to have developed types of skin cancer.

And when famous actors such as Bob Marley sadly died of melanoma, how can we try and ensure we don’t follow in their footsteps?  Bob Marley’s death shows that anyone with a darker skin does NOT have immunity from this dread disease.

Cancer Research UK show figures more than doubling recently,  with a steep increase in deaths from malignant melanoma, especially in elderly men.  Yet they say the disease is preventable.

Caroline Cerny, from Cancer Research UK, says men needed to learn to look after their skin.  “Too often men leave it up to their partners or mothers to remind them to use sunscreen or cover up with a shirt and hat, and even to visit the doctor about a worrying mole,” she said.

If you are worried about a mole, go to a GP.  Dr Jonathan Bowling says “it’s crucial that people go to their doctor as soon as they notice any unusual changes to their skin or moles – the earlier the cancer is diagnosed the easier it will be to treat.”

What else should you do?

1.  If possible wear loose but covering clothing in sunny weather.

Avoid wearing

  • low-slung jeans  – bare flesh at the back is a danger zone
  • sleeveless vests and tee-shirts are a no-no
  • Watch out for the throat area
  • shorts are fun – but slacks and trousers are better, as are long skirts
  • and if you are recovering from chemo – or are bald -  wear a hat

Use Sunscreen with a minimum SPF 15:   30 is better

  • Put on creams at least 15 mins before going out;  don’t rub in, but let the skin absorb them
  • Don’t forget backs of hands; knees;  tops of feet; bald heads; back of neck and throat area
  • Re-apply during the day, particularly after swimming
  • And use an adequate amount.  Don’t scrape it on – slap it on.  You are doing this to prevent a horrid cancer.  Isn’t  your life worth the extra expense of using sunscreen generously?
  • and use DuWop. See below to find out what this is!

La Roche-Posay (LRP), the dermatological skincare brand recommended by over 25,000 dermatologists worldwide has issued the following advice, emphasising the importance of adopting sensible sun safe behaviour to prevent future complications.  Because sadly, skin cancers can take years to develop.

Teenagers spend hours on suntan beds, not caring that they are building up almost certain problems for the future.  Sportsmen and women go out in the mid-day sun without taking proper precautions, etc.

LRP say “Sun creams are an important part of sun protection, but no sun cream can provide 100% protection, so a wide brimmed hat, sunglasses and T-Shirt should be worn in the sun. It is also important to stay out of the sun between 11am and 3pm and follow the British Association of Dermatologists Sun Smart advice. They also have a lot of factual information on their site about different skin cancers, and basic advice about how to treat the sun – because there are also benefits to sunlight, and you don’t want to stay out of it completely.

http://www.bad.org.uk/site/574/DesktopDefault.aspx

Sun radiation consists of UVB and UVA radiation. In the short term, your skin will be visibly affected by mainly UVB rays. But the true extent of the problem is seen through the long-term effects of UVA.

These rays are responsible for premature skin ageing and can cause sun allergies such as heat rash (Polymorphous light eruption) and brown spots (hyperpigmentation) and can even provoke phototoxic reactions when combined with certain commonly prescribed medications. It is therefore essential to choose a broad spectrum UVA-UVB sun cream.

Anthelios XL, provides unparalleled effectiveness and dermatological tolerance to

protect against cellular damage caused by UV rays offering highly effective suncare

protection. La Roche-Posay, has demonstrated the clinical efficacy of Anthelios XL with 21

clinical studies. The combination of patented filters Mexoryl® SX and Mexoryl® XL

enables the Anthelios filtering system to provide efficient protection against the entire

spectrum of UVB-UVA rays. New this year La Roche-Posay introduces a new minimalist

filtering system called Mexoplex® into its SPF 50+ Fluid range, offering the highest UVA

protection ever as well as excellent photostability with a reduced content of chemical

filters.

iS Clinical is the American skin care range that was developed at Washington Cancer Center.  They say they do not manufacturer a fake tan product, however, spokesman Alan Kelly says, ” we do sell a tinted sunscreen in both the standard cream, and a powder form.  Many of our clients use the tinted version at this time of year instead of make-up. They apply the tinted sunscreen and some will also use some blusher to provide definition. That way they receive a full board spectrum UVA/UVB protection all day. I will also be honest and say that some clients find our perfect tint version slightly too dark. In this instance they normally purchase the translucent and tinted version which they can mix together to achieve their desired shade”.

iS Clinical also make an SPF25 Treatment sunscreen to protect the body, which I often use as it moisturises my skin as well.  Double action!

Their products are mostly sold through doctors’ practices, or contact alan@isclinical.ie

Beware! Sun bounces off reflective surfaces, such as water, sea, concrete, etc.  Even when under an umbrella, sitting by the seaside, or on a concrete patio, the sun’s rays can get bounced off the surface, and you end up with horrible burns.  So wear something or slap on sunscreen, even when under the protection of the largest umbrella.  Those rays bounce an awful long way!

And finally – don’t despair

You don’t have to go round looking pale and white – or copy Victoria Beckham and other celebrities who spend hours, – and mega-pounds or dollars – having spray tans.

All my friends have been asking “where have you been?”  I look as it I have been carefully suntanning for the past week on a Mediterranean beach (I wish – the beach part anyway!).  My skin is a lovely colour, thanks to a wonderful self-tanning gel from DuWop.

Calling itself ‘clear revolotion’,  i

this is really a clear, cooling ice blue self-tanner that actually tones and conditions your skin,  provides natural sunscreen and gives you a safe, healthy, glowing tan that develops overnight.

I keep on looking down at my legs – all smooth and golden – and am so proud of them!  And possibly the nicest bonus of all it NO SMELL!

You know that horrid ‘bad grapes’ smell that sticks around you when you wear self-tanning products?  Time and time again I read the blurbs that promised no smell- and found the advertising hype wasn’t true.

But with DuWop there is no smell – no-one would know I had put this on, if it weren’t for my tanned body!  Lovely stuff!

And a weird warning!

Lisa Fayed, writing on About.com Cancer Guide,  for American and Canadian readers,  says “If you drive on a regular basis, you may be putting yourself at risk of developing skin cancer. Whether you hang your left arm out of the window or rest it on the door with the window closed …. the left side of your body is being exposed to harmful UVA rays, especially your face and arm. Window glass may protect you from UVB rays, which cause sunburn, but it does not block UVA rays, which play a role in the development of skin cancer”.

A study published in the May 2010 edition of the Journal of the American Academy of Dermatology shows that drivers are at an increased risk of developing skin cancer lesions on the left side of their bodies more often than their right. In the study, researchers examined the medical records of 1,047 people with skin cancer. They found that 52.6 percent people had skin cancer on the left side of their bodies as opposed to 47.4 percent on the right. Melanoma, a deadly form of skin cancer, occurred much more frequently on the left side — 74 percent compared to 26 percent on the right.

For those of us who drive on the correct i.e. Right side, this obviously refers to our right side!

In the old days you rode on horseback on OUR side of the road – it was easier to draw a sword against an attacker.  But during the French Revolution this was changed (by the French) to walking or driving a cart on the opposite side of the road;  they didn’t want to be reminded of aristocrats, who could afford to ride horses.  Gradually, as Napoleon conquered Europe, he made every country follow the French way.  But the British were never conquered by him, so we still drive on the correct side of the road!  As does half the world!

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Don't let a bath or shower dry out your skin

Kick Fido out the bath – and enjoy yourself!

These are products that help keep your skin moist during and after a bath or shower

I have used these products ever since I woke up one morning covered in bloody skin lesions, and and turned in desperation to these companies, when a top Dermatologist tried to bully me to stop me asking “why did this happen?” .  His answer (the idiot) was “it’s your age”.

I drove him from the room, him saying “I am not going to stay and answer questions”, when it was obvious his students agreed with me – not him.

So these companies came to my rescue:  some of their products have had clinical trials in hospitals, some are approved by the FDA – but all of them bend over backwards to make good products that help us.

Doctors and nurses get all pious about not using ‘commercial’ products on your skin.  Huh!  And they don’t like scent either, but when I found out that lavender, rose and other plants and flowers are often used in medical products I stopped listening to them.  Lavender, in particular, was used as an antiseptic in World War I.  So I think there are some we can use – carefully.

If you are like me (and the dog!), you do like a bit of pampering in the bathroom!  The following products have been tested by me;  my skin is appallingly sensitive, thanks to drugs, so if my skin doesn’t errupt…….. it should be OK !    So although this is a totally ‘me’-focussed, non-medical post, if it works for me it should work for most people.

Out shopping I tend to make my choices amongst the following companies:

Elemis Recently I have been put on bisphosphonates (for osteoporosis – probably from Aromasin), and that is a real BxxxxR!  However, Elemis happened to send me a lovely bottle of their Frangipani Monalloi Moisture Melt – which arrived just in time to do exactly what the label says – melt into my skin.  Bonviva (the drug I am taking) is particularly vicious, and has managed to destroy my nails (Evonail are working on this at the moment), so anything to counter its effects on body skin has to be strong to be effective, and this Frangipani oil certainly is.

It is an oil, so be careful if you rub it into your feet that you wipe them down before you set off across a polished floor – but the effects are superb.

Elemis, in their quiet way, produce some fantastic skin products;  an old favourite that has just been re-launched to celebrate their 20th birthday is their Skin Nourishing Milk Bath – does just what it says on the label.

As I lie soaking in my bath, I think I am going to use the bottle it comes in to make Raspberry Vodka – which I give as presents to friends (I don’t drink – but my friends do!)

And of course their Spa just behind London’s Bond Street is the top place for superb treatments and massages.  Whatever I try of theirs always seems to hit the right spot, and they really do understand what our skin is going through.  And the little mews is just the place to have lunch or a coffee and relax afterwards.  You can buy all the Elemis products on the ground floor of the spa, and you always get lots of samples as well – making shopping there even more fun!

Finders makes one of the best body scrubs, called Dead Sea Salt Scrub, and it costs under £10. Another excellent product is their Dead Sea Body Scrub with Frankincense oil (£6.99). The same company also makes Black mud mask soap which is excellent for hand washing (stops drying out hands) (£3.29). www.deadseabathcare.co.uk .

Then in your shower or bath use Finders Heavenly Hydration in your bath or shower, then gently smooth their Skin Softener all over your body (don’t forget the bit around your waist on your back, which often gets very dry). This product is excellent for an emergency ‘repair’ when your skin is really dry, or it reacts when you are put on a new drug.

However, do wipe your feet before you step on a polished floor, otherwise the cream may not have soaked in – and you will slide all over the place!.  These products do what the name says on the package, and keep your skin soft,, smooth and – most important – healthy.  I can’t understand how Finders manage to keep prices down, and still produce some of the best bath and moisturiser ranges – but they do.

When you start on drugs your skin may be so dry that you will need to use a body moisturiser at least twice a day, and if you go swimming use it again after you come out of the water.

Floris I love the lightly perfumed bath gels, cleansers and gentle body lotion made by Floris.  Founded in 1730, Floris products were good enough for Florence Nightingale. So what’s good enough for one of my heroines is good enough for me.  Today, the company is run by the eighth generation of the family, and walking into their shop at 83, Jermyn Street, you are still given the same ‘old-fashioned’ service.

Floris make a range of sweet smelling products that don’t dry the skin, and are gentle.  Not only that, but they also support the Cancerkin centre – so are well worth supporting themselves.

I had a marvellous friend who, knowing I loved jasmine, used to give me Floris products in their Jasmine range, including Body cream, and other bath products in same range.   They also make ranges smelling of Roses, Lavender, Lily of the Valley, etc. and the evocative Edwardian bouquet.

When advised by a doctor that I needed to ‘bombard’ my skin with something extra strong, I used Floris’ scents to add to almond oil to make this smell nicer.  However, you won’t find this type of product made commercially, as you have to be very, very careful.  Firstly because it is so sticky it can be dangerous walking, and secondly it takes time for the oil to be absorbed into your skin, so you have to be careful what you touch and where you sit!  But it is as useful remedy when drugs make your skin scaly.

Incidentally Floris also make a perfumed Hand Wash, which is a good idea as it doesn’t dry out hands, unlike soap.  www.florislondon.com

N.B.  I was horrified to find an NHS website advocating using almond oil on our faces.  It is NOT made for this;  our facial skin is a different composition to body skin, and needs a lighter product.  At times I wonder if the NHS is working against us!  Just to be sure I hadn’t got it wrong, I asked Julia Cox, the very helpful member of Clinique’s staff who deals with the medical profession, and she sent me an email confirming we must ensure we use facial oils – not heavy, sticky ones.

Bronnley are one company that use floral scents, and, they have teemed up with the Royal Horticultural Society to produce a collection based on some of England’s loveliest scented flowers.

Incidentally, Bronnley was founded in 1883 by Jimmy Bronnley and is one of the last solely     British owned firms in its category.  Not only do their products smell gorgeous, but they are made in Britain, so you  are sure no under-age children and used in the production!

I love the scent of roses, and my favourite treat is to lie back in a bath of their Rose Bath Relaxant – it does exactly what it says on the label – pure bliss!

Afterwards, whenever I have particularly scruffy skin (usually when a new drug has been prescribed), I know if I don’t zap these warning signs, I will break out in skin lesions – nasty bloody blisters and peeling skin.  This has happened twice – twice I have been told “it’s your age”, and eventually I took myself off to France to have these dealt with properly.

Femfresh as a company make a lot of helpful products, designed to spare our blushes and make us feel fresher!  They are soothing, hypoallergenic and dermatologically and gynaecologically tested, and their Femfresh spray makes you feel much fresher all through the day.  Their helpful products can be found in major chemists, such as Boots and Lloyds pharmacy, around Britain.

Now I have certain products which I put on straight away after a bath when I am on a new drug.   I pat myself dry, and whilst my skin is still warm and moist, spread on Clinique’s Deep Comfort Body Butter.

Again, this does what it says on the jar, and is fantastic at smoothing down my skin – and moisturising it not only on the surface, but deep down so that this lasts throughout the day.

Clinique also make a Body Lotion – a slightly ‘runnier’ version that sinks in more quickly, but of course isn’t as moisturising and the Body butter.  But if you like a liquid version, this is excellent, and perhaps revert to the Body Butter once or twice a week.  The background to this comppany is very ‘medical’, with doctors in charge and a history of careful, clinical research.

iS Clinical is an American company, making top skincare products, which are now sold via good dermatologists in UK.  Their Body Complex is a marvellous skin lotion to smooth on after a bath or shower, and is excellent at zapping my dry skin, particularly if it is being ‘itchy’. Although the lotion  is rich, is is not cloying, and sinks in without leaving you all sticky.

Is Clinical is a botanical treatment especially suitable for ‘more resilient skin areas of the body’ .  i.e. those areas that go all hard and scaly!  If you are about to have more radiotherapy, try using this twice a day for a month before – it is brilliant at ‘priming’ your skin.  And I know that Washingon Cancer Center has had a lot to do with promoting this for cancer patients to help with dry skin.

If you can’t find their products,  go to cosmetic surgeons as they are much more likely to recommend and supply these products to their patients.  There is big money in this side of medicine, so their surgeons are pretty clued up – and they will recommend iS Clinical because it helps faster healing – so one reason why it is excellent for ‘cancer drugged’ skin.

La Roche Posay is another ‘hero’ range of products, but recently they have had to withdraw and re-write their marketing for these excellent products, because new rules and regs. mean they can’t advertise that their products are helpful for cancer patients.  The new MHRA rules are so convoluted I can’t understand them – all I know is that a product I have used for 20 years now can’t be sold to me in a dropper bottle;  instead I am supposed to use Minims (those horrid little fiddly plastic things) which are impossible (I have had polio and fingers can’t squeeze the drops out).  So instead of using a sensible bottle, I have to cut off the Minim bottom, let the solution run out into a container, soak it up using a dropper – then drop the solution into my eye – highly contaminated process!

Anyway, I use their products all the time – and the fact that they have been clinically-trialled in France (with its excellent cancer-care record) is good enough for me.  They make a wide range of products, and these are sold through major Boots outlets, as well as in some top chemists such as John, Bell and Croyden.

However, in the summer-time, after a bath I will spread on one of their body cream products – then wait a few minutes until this is absorbed – then spread on their Anthelios sun cream.  This should not be rubbed in, but allowed to be absorbed naturally;  this will give much better protection.

I will be writing more about their products, when the powers-that-be have made up their minds what exactly they are allowed to tell us – but as I am non-medically qualified, there is nothing to stop me from saying I was prescribed La Roche Posay when I went to France to be treated for side effects from cancer drugs.  !!

Dr. Bragi.  If I have had an extra dose of pills – such as antibiotics that seem to be the standard treatment for just about everything today,  I reach for products developed by Dr. Bragi. He comes from Iceland – and started to use his research to develop products using marine enzymes – plenty of them in Iceland.  These products act like a serum, and I use the Face and Body Salvation (does what it says on the label) when I can feel those rough patches developing as a side-effect from antibiotics.

I spray this all over my body, and can use it on my face as well.  It sinks in, and really gets the skin back on track.I don’t begin to understand it works – but the crystal-clear pump action bottles come with a warning.  They are sensitive to lipid-based products, so wait at least 15 minutes before applying any other cream or lotion on top.   www.drbragi.com

Products I have mentioned are fairly expensive – but if you spend £80 on a pair of trainers, doesn’t your skin deserve the same attention?  Our body skin is vitally important, and yet there is so much of it to protect it can be an expensive exercise.

And nurses look at my skin, and tell me it is lovely!  This is all thanks to the products that I use – nothing to do with me!