I just wanted to compare notes with your ped derm and mine. She has the bedside manner of a porcupine, but she's supposed to be the best - and she has several little peons that follow her around wherever she goes, hanging on every word... it didn't help that it was about a thousand degrees in the tiny exam room and Micah had a random coughing fit, but I think she knows what she's talking about and his skin is already looking pretty incredible after less than 24 hours on this new regimen.
First, how often do you bathe Fiona? What soap do you use? Dr. B said to bathe once a day without soap, except in necessary areas. She said that the CA Baby Super Sensitive that I got was fine, but also recommended unscented Dove and Cetaphil is her favorite. But I'm wondering if I NEED to bathe him every day or if I can wait every few days. I'll call her ofc to find out, but wondered what you do.
Here's the regimen: three times a day he gets hydrocortisone 2.5% ointment to eczema spots on his body and 1% on his face. As the eczema spots improve, taper the 2.5% to 1% and then to vaseline. Vaseline at every diaper change. Sounds so easy, but it's really time-consuming!! But like I said, he's significantly improved in less than 24 hours already, so it's worth it.
He also has had a persistent diaper rash for well over a month - here's the weird part: she wants me to mix Miconazole (Micatin) with the 1% hydrocortisone at every diaper change. But Micatin is for vaginal yeast infections! I guess she wanted to try it because I've been using Nystatin 4-5 times a day and it hasn't touched it (along with Triple Paste, A&E, airing out, etc., etc.).
Her other big thing is that she is really opposed to creams and strongly prefers ointments. She said that the steroid cream his pedi prescribed was too strong and that what happened was that when he went off of it, it would actually create a rebound effect and his skin would be even worse than it was before, which is totally what we experienced!
Finally, did your doctor talk at all about what causes these skin conditions? I much prefer to try to deal with the source of the problem as opposed to just treating symptoms, but this doc just said that you could drive yourself crazy trying to figure out the causes and to not bother. :confused: