As someone who was raised with the mantra "No doctor, no problem!", I guess it is somewhat unsurprising (at least from the psychoanalytic view that I favor) that now as an adult, the complete opposite is true. I am pretty sure that Max has been to the doctor more times during the two years and three months that he has resided with me than I, the precious firstborn, did from ages 2-18.
I'm not at all trying to imply that I was neglected as a child, even though my 12 o'clock curfew was strictly enforced and I wasn't "allowed" to buy a car. I just think my luck with the doctors has run out, and now I'm making up for lost time.
I may be a little bit of a hypochondriac, but most of my doctor visits (and all of Max's, for the record) have been very much warranted. There was the one time last year that I was convinced I had a brain tumor because I was having these really intense, localized, throbbing headaches, and I went to the doctor and he laughed at me. But I don't usually get headaches unless vodka is involved, and they were really, really bad (like, blinding) headaches, so I think my concern was less than ridiculous, although I'll admit that the brain tumor self-diagnosis does sound a bit melodramatic now. But that episode is surely balanced out by the unfortunate gardening incident that resulted in a very rusty, very dirty nail impaling my shoe and penetrating half an inch into my foot. When it happened, I calmly pulled the nail out of my foot, hopped through the house and onto the back deck, turned off the gas grill so my chicken wouldn't burn, and then refused to see a doctor until 48 hours later when I was informed that tetanus can actually kill you, and I hadn't had a booster shot since I was 8 years old.
That being said, this year alone, I have been to eight different doctor visits, and innumerable physical therapy appointments. I'm not talking about my hamstring/back problem, partly because it would take too long, partly because it would be boring, and partly because I still sort of want to cry/strangle someone when I think about it. So now I'm focusing on a battle that (I think) I can win: the war against acne.
I started getting zits around the normal pre-teen time, and my skin was probably about average throughout high school. But then, in college, when the hormones settled down and most people's skin started to clear up, mine got worse. Looking at some of the pictures from back then is actually painful for me, not just because of how awful my skin was, but because I remember how much I hated it and everything I unsuccessfully tried to make it better. I bought all the overpriced clearasil creams that promised clearer skin in three days, but all they did for me was bleach load after load of laundry. I bought all the expensive Neutrogena facewashes and creams... nada. When I went to Spain, I thought I had finally found the solution. My friends with great skin swore by Differin, which was sold OTC in Europe. I stocked up and started using it with high hopes, but all it did was make my skin scaly and flaky, on top of the horrible acne. That was probably the worst period of my acne career, although it was one of the best times of my life. I miss Spain.
Looking at my compulsively organized pictures from the time after that, when I came back to the states and was in the end of my junior year of college, I can see the visible changes in my skin over a period of about six months. I didn't find the magic cure. I didn't take Jessica Simpson's advice and use ProActive. My skin just cleared up, all on it's own. And it was beautiful. No, really it was, and I'm not just saying that because I'm conceited or glorifying the past. In fact, I actually didn't notice until one day, a girl came up to me in the grocery store while I was reading the labels on the back of a box of Nature Valley granola bars and told me that I had "beautiful skin". My first reaction was, are you making fun of me because I'm so pale? Is this some kind of racial slur? Am I on Candid Camera? I just looked at her, stunned, and I think I said "thanks" or "huh?", and she smiled and walked away. I was left thinking, hmmm, she sure didn't seem like a mean racist bitch. No one is jumping out from behind the granola bars with a video camera. Maybe she was just delusional? A Sheppard Pratt escapee, perhaps? Or maybe this was some sort of social psychology experiment, like when Ly-Lan walked around with pen on her face all day to see who would tell her and who would pretend it wasn't there?
But when I went home, I looked in the mirror and realized, holy shit, I hadn't even realized that I hadn't had any painful, exploding zits taking over my face for awhile. In fact, I couldn't remember the last one. Hallelujah, I was officially no longer an adolescent, and officially Over My Acne at 21 years old. It was about time. Let's celebrate with couple of vodka shots.
I started to take it for granted that I no longer had to wash my face before bed without fail, or be guaranteed at least two zits upon waking up in the morning. It was a really glorious 18 months, where I thought that all those people who with naturally gorgeous skin who said obnoxious things like "you'll just grow out of it sweetie" (the same people who said "your growth spurt will come this year for sure!") might have actually been right. About the acne. Not about the growth spurt. Still waiting on that one, 15 years later.
And then, about two years ago, I got a zit. A really, really big zit, different than the hundreds of little ones I used to get. That sucker nearly took over my face, and shit, was it embarrassing. It was such a shock that I actually thought that maybe that urban legend about a spider laying eggs in your face was true, but I didn't go to the doctor or anything, because I am NOT A HYPOCHONDRIAC. Eventually it went away, but it was followed by another... and another.. and then they started double-teaming... it never got as bad as it used to be, apparently this was mature, "adult" acne, not the pubescent "adolescent" acne of my olden days.
I just dealt with it for about a year, hoping it was just a phase, or something in the air, or a rare contagious disease that would go away on it's own. But it didn't. In fact, it got worse. And instead of resigning myself to who-knows-how-many more years of adult acne, I decided to fight back, with the help of my trusty employer-paid group insurance. In January, I went to a dermatologist. It was at a satellite Hopkins campus just north of Baltimore, which is also where the Hopkins Cosmetic Surgery Center is. It was really sort of fun to sit in the waiting room and look around at all the nose job and liposuction follow ups and wonder who had what done. I was a little nervous that the doctor would think I was totally vain for coming in for such an insignificant problem, since I'm sure she sees about a dozen cancer patients and people with strange rashes all over their bodies (me, two years ago, right before I was about to go on vacation, which was actually my first-ever visit to a dermatologist) (It was nothing) (I'm not a hypochondriac!!), but when I got my 10 minutes of doctor face-time, I told her straight up that sick of having zits, especially after being teased with naturally nice skin for a year and a half, so tell me what my options are. Oh, and can I have a full body cancer screening while I"m here? I have a few spots I'm worried about. She sent me on my way (cancer-free) with a prescription for some heavy strength facewash and stridex-like pads.
For the first few days, they dried my skin out so that I actually had to use moisturizer on my face, which was a first for me, barring a few massive sunburns, and also a violation of my nothing-greasy-on-my-face-not-even-sunscreen policy. And then my face really cleared up! I was filled with false hope. But that would have been too easy, and really an unfulfilling, less than satisfying end to my long battle with my own body. I started getting zits again, one or two at a time, and they were BIG mothers. Painful, oozing, disgusting zits. Needless to say, I was not pleased. Three days before my follow up appointment with the dermatologist, my skin cleared up perfectly, on cue.
I was afraid that I might be accused of exaggerating my plight at the follow-up, but I had my "aftermarks" as proof. For those who may not have had the pleasure of enduring acne, aftermarks are temporary scars that zits leave after they're gone, which fade in about a year, or as little as nine months if you scrub your face everyday with exfoliator (not that I do, of course). To my surprise, the doctor was completely on my side (which was quite a shock, after my past experiences with orthopedists for my leg... but I can't really talk about it without throwing something through a window or breaking down into tears). She suggested we step up the game: Oral antibiotics plus some superstregnth creams for morning and night.
It's been almost three days, and so far, I'm hesitantly optimistic. She told me I should only use the nighttime cream once every three days to begin with, because it can be really drying. Knowing that my skin can produce more oil than Texas, and because I am one impatient person, I ignored that advice and have been using it every day. So far, no dryness. Before you think I'm an idiot for ignoring sound medical advice, let me assure you that I am heeding her warning to take the antibiotics with a full meal, because I already have a mini-ulcer from the 15 ibuprofen I used to take to get through each day (resisting urge to throw computer out the window) and I have no desire to wake up in the middle of the night feeling like I am giving birth to a 25-pound porcupine again (resisting urge to cry). So far, the skin seems to be looking better. Another 9.5 weeks go to before the final word is in.
I never in my life thought I would be grateful to an insurance company, but when I saw the pricetag on these three new prescriptions, I almost kissed the pharmacists as I handed over my $10 copays. I guess grateful isn't really what I'm feeling... it's more like satisfied. Like I'm sticking it to the man, getting them back for all the people (including me, in the past) that they rip off every day to make their fatcat CEOs rich. My brain knows that things don't work like that, and I'm not even with the same insurance company that screwed me over so many times, and is still screwing my family over. I'm not making the world a better place, and in fact, I also feel pretty shallow for writing such a long essay about my acne, which isn't even that bad, when people have real problems like cancer and kidney transplants and ACL surgeries (think good thoughts for my mom!). But, the fact is, I feel like I'm getting my money's worth somehow. And clearing up my skin in the process. Hopefully.