| PS295 | X | u | (No name, age unknown, doctor) unspecified |
| PS296 | X | u | (No name, age unknown) unspecified |
| (PS295) |
[1] Right Mrs do have a seat. [2] What can I do for you? |
| (PS296) |
[3] It's the eczema again. |
| (PS295) |
[4] Oh. |
| (PS296) |
[5] Actually it started getting a bit better from when I telephoned. |
| (PS295) |
[6] Ah good. [laugh] |
| (PS296) | [laugh] |
| (PS295) |
[7] What are you taking at the moment? [8] Are we putting anything much on? |
| (PS296) |
[9] Erm I use the Dipabase and the erm |
| (PS295) |
[10] Betnovates |
| (PS296) |
[11] Betnovates |
| (PS295) |
[12] Ointment I think. |
| (PS296) |
[13] Mm. |
| (PS295) |
[14] It was back in February I saw you isn't it? [15] Let's have a look. [16] And it really is very localized but that is quite angry, it's bubbly too and spreading, little finger. [17] But these two are fine. |
| (PS296) |
[18] Mm. |
| (PS295) |
[19] Mm. [20] Hmm. [21] This [...] bubbly area. |
| (PS296) |
[22] You say that's [...] . [23] Mm. |
| (PS295) |
[24] Yeah. [25] Right are you still using Betnovates And |
| (PS296) |
[26] Mm. |
| (PS295) |
[27] Dipabase And |
| (PS296) |
[28] Yeah. |
| (PS295) |
[29] it's flared up despite that? |
| (PS296) |
[30] Yeah. |
| (PS295) |
[31] Right, [...] . [32] Okey-doke. [33] Hmm. [34] It's, it's a bit cracked [...] . [35] It makes it very [...] [cough] |
| (PS296) |
[36] As I say it's better than, it's a bit better than it was. |
| (PS295) |
[37] But it's still not that |
| (PS296) |
[38] No. |
| (PS295) |
[39] good is it? [40] No. |
| (PS296) |
[41] No. |
| (PS295) |
[42] Right, what we need to do is to hit it fairly hard and try to get it damped down as quickly as we possibly can. [43] Now don't get rid of the Betnovate have you still got some left? |
| (PS296) |
[44] Mm. |
| (PS295) |
[45] Okay. [46] Because as soon as it starts to die down you could probably go back on to Betnovate to keep it maintained. [47] And you may actually have to use Betnovate on a preventative basis every now and again. [48] Even if there's not a deal there, as soon as it starts [...] it's slightly flaky [click] straight in. [49] But what I'm gonna do is give you erm Dermavate Dermavate is actually more potent than Betnovate in the ointment form again to get the rapid penetration. [50] And once again, like Betnovate it's used twice a day. [51] And in a similar fashion you should use the Dipabase to keep the skin as soft and moist as you can |
| (PS296) |
[52] Mhm. |
| (PS295) |
[53] rather than letting it get dried out and cracked. [54] Dermavate is, as I say, it's more potent, it's probably not so suitable for keeping going with, but for jumping on top of things in a hurry, it's fine. [55] And I think that's what we ought to use. [56] Sometimes you actually need to use it under something, but it's difficult to use under things and part of the hand. [laugh] |
| (PS296) |
[57] I don't know what you mean under [...] |
| (PS295) |
[58] Well sort of under a dressing, or |
| (PS296) |
[59] Oh right. |
| (PS295) |
[60] under a bit of polythene, so it, it actually gets absorbed even quicker. |
| (PS296) |
[61] Mm. |
| (PS295) |
[62] But er I don't think we need to go to that er length with you. |
| (PS296) |
[63] I've still got those erm, you know, the little purple tablets? |
| (PS295) |
[64] Yeah. |
| (PS296) |
[65] That dissolve in water, [...] |
| (PS295) |
[66] Yeah, to soak them. [67] Mm. [68] You could, you could go back on the Permitabs if you want. [69] It's not desperately moist, although certainly one of them is cracking quite a bit, and if that helps to dry it up and make it more comfortable then it's worth giving them a soak ten minutes a day. |
| (PS296) |
[70] Mm. |
| (PS295) |
[71] If you want to try those, you dissolve one in four litres of water which is er which is a little, just short |
| (PS296) | [...] |
| (PS295) |
[72] just short of a gallo yeah you need a bowl. [73] Yeah, but then you get the right concentration. [74] If you use too high a concentration, it irritates and it stains even more than the dilute stuff does. [75] But that may be worth a go if you've got some Permitabs left. |
| (PS296) |
[76] Mm. |
| (PS295) |
[77] But I think we'll use some Dermavate Have you got plenty of Dipabase |
| (PS296) |
[78] Yeah. |
| (PS295) |
[79] Good. [80] A big tub, yeah? |
| (PS296) |
[81] Mm. |
| (PS295) |
[82] That's fine. |
| (PS296) |
[83] Is it alright to put that on, you know, when it's broken? [84] The skin |
| (PS295) |
[85] Yes, you've got, you've got to be a bit careful with broken skin because if you put things directly on it, they tend to irritate. [86] It won't do the skin any harm particularly, but it can smart. [87] And |
| (PS296) |
[88] Mhm. |
| (PS295) |
[89] that might be one good reason for using the er the soaks. [90] The other think I'd recommend, is, using a fine pair scissors, is take off the scaly bits, the bits that stick out, cos they're the bits that catch |
| (PS296) |
[91] Mm. |
| (PS295) |
[92] and hurt and |
| (PS296) |
[93] Yeah. |
| (PS295) |
[94] pull the skin apart. [95] And once they're all sticking out, dead and scaly, they're redundant anyway, so you may as well trim it all down. [96] Neaten it up. [97] And you're less likely to catch your hands then. [98] Okay? |
| (PS296) |
[99] Okay. [100] I'm |
| (PS295) | [...] |
| (PS296) |
[101] going on holiday, a week on Sunday, and that was mainly why I wanted |
| (PS295) |
[102] Mm. |
| (PS296) |
[103] you know, to get sorted |
| (PS295) |
[104] Yeah. [105] Yeah. |
| (PS296) |
[106] before then, because |
| (PS295) |
[107] Yeah. |
| (PS296) |
[108] I think if I'm in |
| (PS295) |
[109] Yeah. |
| (PS296) |
[110] I'm going to Spain, it's gonna be even |
| (PS295) |
[111] Right. |
| (PS296) |
[112] more of a nuisance. |
| (PS295) |
[113] Yeah I think so. [114] Well let me give you two tubes just in case you need to keep going for er longer than we might think. [115] Okay. [116] And then you can take that with you. [117] So if [...] . [118] The other thing about the ointment's, of course, it waterproofs the hand, which is handy if you're going into the Med. |
| (PS296) |
[119] Mm. |
| (PS295) |
[120] If you will get some er protection then from the horrible Med wa soup getting in and infecting it. |
| (PS296) |
[121] What about swimming and things? [122] I mean [...] |
| (PS295) |
[123] Yeah you're okay, you can go swimming, it shouldn't do you any harm. [124] I mean in n things like swimming baths are chlorinated so they've got a low bug count anyway, so, so you'll be at low risk of getting anything there. [...] |
| (PS296) |
[125] Right, so I, I use this till it clears |
| (PS295) |
[126] Yeah. |
| (PS296) |
[127] up? |
| (PS295) |
[128] Yeah, and then you you've got your Betnovate to keep yourself ticking over with I hope. |
| (PS296) |
[129] Mm. |
| (PS295) |
[130] Okay. [131] Some people need Dermavate to tick over with but er it's a bit potent to keep people going and going and going on so we'll see how you go with that. |
| (PS296) |
[132] Lovely. ... |
| (PS295) |
[133] Take care of yourself. |
| (PS296) |
[134] Okay, thanks. |
| (PS295) |
[135] Bye. |
| (PS296) |
[136] Bye. |