It's a nice day here. Sunny and in the low 70s with just a very light breeze. Much better today. I got back from my dermatologist appointment a little while ago. The doctor was switched last minute to someone not even listed as practicing in that office. This dermatology group has offices in a dozen locations between New Jersey and lower New York state. The nurse used an iPad to take a picture of the rash before the doctor came in. The doctor didn't examine me at all. The nurse asked for a detailed medical history but yet the doctor belittled my bringing up the autoimmune situation. She's treating it as a skin fungal infection even though I already tried a cream for this weeks ago and it did nothing. It's been the coal tar soap that has helped somewhat but she didn't want to hear it.

So I have to walk down to Walgreens in a while to pick up the new ointment. You can have an infection with either eczema or psoriasis simultaneously. So I have to see what happens with this. I should have taken pictures of the rash I developed on my neck back in June that I had to slather on a lot of hydrocortisone cream multiple times a day for several weeks to get rid of and that's never happened before.

I have a bunch of skin issues. I can't retain moisture in my skin at all. I already have dry skin problems with my wrists and hands that automatically starts as soon as the temperature gets cool/cold. The skin in like sandpaper. I wind up slathering a lot of moisturizer but it only helps somewhat. If I don't put lip balm on my lips multiple times per day year round they'll crack ridiculously easily and can bleed. Even though I use hyaluronic acid moisturizer on my face my skin gets tight and hurts. All of this has gotten worse over the years with the autoimmune stuff creeping up, just like the chronic dry eye and dry mouth situation. It would have been nice if the dermatologist hadn't been dismissive the second she walked in the door shutting down any potential conversation about my skin issues completely.