We had our check-up appointment last week with the allergologist at the children’s hospital. This was good timing because we just had started to reduce the use of the cortisone cream on J.’s eczema to every other day. Unfortunately the eczema came back right away at several spots. So, the doctor recommended to go back to using the cortisone every day, let the skin heal and try to reduce then again. Instead of a rigid schedule we are now doing it “by sight”: On spots which are good we reduce the use of cortisone, on spots that are bad we keep using it.
At this visit I voiced my frustration about the single track approach to use cortisone and explicitly asked him about supplementation, special gymnastics, allergy evaluations, etc. The doctor explained that we will now try to control the eczema with cortisone and if it turns out that this is not enough and we need “too much” cortisone on a regular basis, then we will think about searching for a cause and additional treatment. In other words, I had the impression he was just saying that why should we bother now with many tests and treatments if we can “fix” the problem now quickly and easily with cortisone, and if we can keep the eczema at bay that way until he “grows out of it”. So, we went home with a new prescription for cortisone.
Yes, J. is better. Yes, it is wonderful to see him happily play by himself without channeling all his energy into his scratching attacks and I am tremendously grateful for this. However, in terms of treating the cause of his eczema we are back to square one. And it is up to us to figure things out. It is up to us to pick the supplements, initiate tests and design a treatment plan for J. No doctor seems to be willing or capable to help us with this.