Diaspora living

Life in diaspora has meant different things to us as a family. One of the many things we have learnt and embraced is eczema. Yes the severe dry skin. It may sound trivial but this dry skin showed us through our daughter that it can be a menace.

Our beloved daughter was born with beautiful baby skin, the soft smooth skin that you expect in babies. Four weeks after birth, she woke up one morning covered in flat well spread rash. I didn’t think much of it, continued our bath time routine as usual. Two weeks later, she was crying and scratching her face. Like any diligent mom, I neatly trimmed her nails hoping that would solve the problem. A week went by and whilst breastfeeding, I noted the tiny scratches that she had made onto her face were yellow and crusty.

By this time I was in second year nurse training, so I quickly indentified that there was infection somewhere. Our GP was amazing in prescribing the topical antibiotics, steroid cream as well to apply into her skin and some moisturising cream for ‘dry’ skin. Indeed within a couple days, we could see a marked improvement. Relived and delighted, we were. After all, it was Christmas by this time and the all important Family Christmas pictures!

That was the beginning of a very long journey. A journey, we are hoping is taking us somehow remarkable and to a destination. We soon learnt about eczema from our lovely health visitor who had taken an interest on the condition amongst Migrants. Bewildered, overwhelmed and stressed, I read as much as I could about the condition, diagnosis, side effects treatments etc. I researched a lot!

Both me and hubby had not heard of this ‘terrible’ condition. I prayed, each time I thought about it. I cried every time I read about the bio-psycho-social burden of the disease. I couldn’t understand why and how she had got it. I had kept healthy throughout my pregnancy, if anything, I was a freaky healthy eater. Some friends explained that it was the mackerel fish that I loved so much during pregnancy.

Anyway, God is faithful, over the years we continued with the moisturing regimen, paying attention to the change of seasons. It was well managed and we didn’t have any problem. As soon as we saw the inflammation of joints, we diligently started the moisturising regimen. This means applying Cetraben ointment 4-5times a day and adding 2% hydrocortisone to the regimen until inflammation is settled. We kept the Cetraben bottles in different rooms in our house especially lounge so we moisturised whilst watching telly.

Our challenge and testing time came when we moved house. The poor girl then aged 11years old, just woke up on new year’s eve with pitch black lips and eyelids. Initially, we thought she had eaten something that coloured her lips. Within a week, there was an aggressive flare up that got infected and wouldn’t respond effectively to steroids. She scratched the back of her neck and that quick y turned very ugly.

Severe, oozing skin rash on black neck skin of a 11yr old female
Skin rash- sensitive image

It was time to see a dermatologist. What a fight that was to get NHS GP to refer. I fought like a mama bear that I am, was met with a lot of red tape and mis- diagnosis! Mind you I was now a fully qualified health visitor with extensive professional experience of supporting families with babies like mine. I had also become a professional champion for Eczema through the eczema Society.

Believe it or not, I was the GP liaison health visitor for mY GP Practice, meaning I had professional links with the practice where we met once every month to discuss families registered on the practice with complex history and what support they were receiving as well as safeguarding concerns.

I am not saying this meaning I needed preferential treatment rather to highlight the barriers families are facing today in our NHS. it takes a lot of will power and advocacy as a parent to be heard by professionals. Please don’t be discouraged and easily dismissed! As a parent, you know your child best, fight for their care.

Even then, we needed antibiotics, days off school/ work. It was heartbreaking, stressful and frustrating. One Sunday afternoon, I took her to Accident and Emergency Department. I was fed up! Yes we waited 3hrs to be seen. Bloods were taken and thorough history as well as assessment was done. Her Vitamin D was very low πŸ™†πŸ½

It turns out amongst cat allergens our baby girl had very low vitamin D levels. Since then we take Vitamin D supplements religiously in our house. Rightfully so! These sun pills are good for mental well being, reduces SAD and bone density in both young and old.

Who knew what the magical African sun meant to us when we were growing up. Now I understand and appreciate why Africans are able to smile through life’s seasons 🌞🌞

The department of health, recommends that people of African and Asian origin take vitamin D supplements throughout the year. You can buy these from the supermarket, boots or health shops such as holland and barratts. It’s important to follow the dose and stated by the department of health guidelines.

When the sun is out, enjoy it.

Resources:

Vitamin D Guidelines from NHS-UK: https://www.nhs.uk/news/food-and-diet/the-new-guidelines-on-vitamin-d-what-you-need-to-know/

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