Abid

Age at interview: 24
Brief Outline: (Text only clips) Abid has had eczema since he was a baby. He emphasises the importance of self-awareness, knowledge of the body, diet, and exercise in managing his eczema.
Background: Abid, aged 24, is of British-Bangladeshi descent.
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Abid, aged 24, has had eczema since he was a baby. As a child, it was difficult for him to understand that the skin condition could be managed but not cured. As he got older he realised that self-management is key in coping with his eczema. Although he used to scratch his eczema as a child, it was mostly due to the skin being red and flaky rather than it being itchy.
Abid’s experiences with healthcare professionals have been primarily negative. He has found that the healthcare system can be slow and GPs have differing ideas about how to treat eczema. He notes that in contrast to other countries, patients in the UK unfortunately do not build a strong personal relationship with their GP. Abid found the process of being referred to a dermatologist lengthy and complicated, and has therefore never attended a specialist clinic. With regards to treatment, Abid emphasises the importance of lifestyle and medication. Two important aspects of his lifestyle that help him manage his eczema are diet and exercise. Abid feels that healthcare professionals often underestimate the effect of diet on a person’s wellbeing. GPs regularly suggested that he cut certain foods (e.g. dairy) out of his diet. However, Abid felt that this suggestion is too simplistic; he is influenced by Eastern ideals within medicine and felt that in order to manage eczema, a deeper understanding of food and its inflammatory effects on the body is necessary. Rather than cutting out certain food groups, Abid avoids eating processed foods and he tries to use anti-inflammatory foods as part of his treatment to work “from the inside out”.
Abid found that time-management in treating eczema was difficult. This process included deciding when to shower and estimating how long creams needed to soak into the skin before he started his day. He found that the prescribed ointments, creams, and shower products had a strong medicinal smell that he disliked. He has topical medications such as ointments and creams to remedy the symptoms of eczema but he avoids taking tablets. He says that this is because his diet already provides sufficient internal treatment and that focusing on internal physiological wellbeing is the best way to go about stabilising his eczema. Before buying commercial cleansers and shower gels, Abid would read reviews online. The internet is a useful source of information, but he warns against incorrect information and false advertising online. He often opted for products that contained natural ingredients and no chemicals. Even though these products were more expensive, Abid believed that they were worth the investment.
Abid’s eczema often made him feel self-conscious and kept him from participating in certain activities such as swimming. However, around the age of 17, he became more confident and accepting of his condition. He now enjoys rock-climbing and believes eczema should not limit you in your hobbies. He thinks that planning ahead and preparing the skin before any rigorous exercise are important. Eczema now impacts on Abid’s self-consciousness a lot less. He believes that societal standards for attractiveness are unrealistic and biased, and he encourages people to be more accepting of others that are considered “different”. Abid’s advice to young people with eczema is to educate themselves about the body and the effects of different foods on eczema.
Abid’s experiences with healthcare professionals have been primarily negative. He has found that the healthcare system can be slow and GPs have differing ideas about how to treat eczema. He notes that in contrast to other countries, patients in the UK unfortunately do not build a strong personal relationship with their GP. Abid found the process of being referred to a dermatologist lengthy and complicated, and has therefore never attended a specialist clinic. With regards to treatment, Abid emphasises the importance of lifestyle and medication. Two important aspects of his lifestyle that help him manage his eczema are diet and exercise. Abid feels that healthcare professionals often underestimate the effect of diet on a person’s wellbeing. GPs regularly suggested that he cut certain foods (e.g. dairy) out of his diet. However, Abid felt that this suggestion is too simplistic; he is influenced by Eastern ideals within medicine and felt that in order to manage eczema, a deeper understanding of food and its inflammatory effects on the body is necessary. Rather than cutting out certain food groups, Abid avoids eating processed foods and he tries to use anti-inflammatory foods as part of his treatment to work “from the inside out”.
Abid found that time-management in treating eczema was difficult. This process included deciding when to shower and estimating how long creams needed to soak into the skin before he started his day. He found that the prescribed ointments, creams, and shower products had a strong medicinal smell that he disliked. He has topical medications such as ointments and creams to remedy the symptoms of eczema but he avoids taking tablets. He says that this is because his diet already provides sufficient internal treatment and that focusing on internal physiological wellbeing is the best way to go about stabilising his eczema. Before buying commercial cleansers and shower gels, Abid would read reviews online. The internet is a useful source of information, but he warns against incorrect information and false advertising online. He often opted for products that contained natural ingredients and no chemicals. Even though these products were more expensive, Abid believed that they were worth the investment.
Abid’s eczema often made him feel self-conscious and kept him from participating in certain activities such as swimming. However, around the age of 17, he became more confident and accepting of his condition. He now enjoys rock-climbing and believes eczema should not limit you in your hobbies. He thinks that planning ahead and preparing the skin before any rigorous exercise are important. Eczema now impacts on Abid’s self-consciousness a lot less. He believes that societal standards for attractiveness are unrealistic and biased, and he encourages people to be more accepting of others that are considered “different”. Abid’s advice to young people with eczema is to educate themselves about the body and the effects of different foods on eczema.
Even though his eczema is still itchy, Abid is able to control his scratching.
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Even though his eczema is still itchy, Abid is able to control his scratching.
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in my situation it never caused me to itch, I don’t know whether or not that was down to discipline or whether or not I was, I was never told it was to be itchy.
There is a lot of discipline involved like because back where I’m from in Bangladesh like if you get bitten my a mosquito it’s the worst thing, you could be constantly scratching it and after two weeks you get bit and you kind of like deal with it and its interesting how that journey happens.
After reading about allergies and eczema online, Abid asked his doctor for a test but wasn’t given one in the end.
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After reading about allergies and eczema online, Abid asked his doctor for a test but wasn’t given one in the end.
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Straight up went to my doctor said ‘Oh I’d like to be tested for what I’m allergic to’ and ‘Nah sorry we can’t really do that we don’t really have the facilities or I don’t think this would affect your eczema in any particular way’ or you know, these, these kind of like half-hearted jargon filled answers which you’re kind of expected to just kind of be confused and mildly acceptant of. So I got a lot of that and then it was yeah it w-, it was kind of a situation where just deal with it yourself.
Going to the barbers could be an uncomfortable experience for Abid. He would be given unhelpful treatment suggestions and found shaving painful.
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Going to the barbers could be an uncomfortable experience for Abid. He would be given unhelpful treatment suggestions and found shaving painful.
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It’s just those environments like when you go to like a barber for example and if you have any near your neck or anything like that then it affects you. Cos obviously like they, they really overdo it when, when you go to the barbers and stuff like when they shave, they literally shave your face like they’ll shave this and this and everything [laughs] it’s, it’s weird so when they go down the neck they go right down and if anything gets in the way then yeah it’s, it’s not a comfortable experience for either side really…because yeah but certainly more uncomfortable for the person sitting down.
Abid talks about using rubber gloves for washing up to avoid getting his hands too wet.
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Abid talks about using rubber gloves for washing up to avoid getting his hands too wet.
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Abid felt more comfortable using a shop-bought moisturiser at work rather than a prescribed one.
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Abid felt more comfortable using a shop-bought moisturiser at work rather than a prescribed one.
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Abid talks about the texture and practicalities of some emollients he has tried for his eczema.
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Abid talks about the texture and practicalities of some emollients he has tried for his eczema.
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And then you're there, kind of stuck in this kind of limbo, where you’re pretty much magnetic man which everything will stick to you.
Abid’s experiences of travelling have made him more interested in ‘eastern medicine’ approaches.
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Abid’s experiences of travelling have made him more interested in ‘eastern medicine’ approaches.
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I’m like “Oh okay that’s, that’s something that I've not really interpreted before” and that certainly plays a part and I’ve been a bit more conscious and a little bit more underwhelmed when it comes to enjoying food. But yeah those are things that are not really explored I think in, in western medicine or, or with doctors.
Abid was nervous about rock climbing at first, but didn’t want to let having eczema stop him from having fun.
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Abid was nervous about rock climbing at first, but didn’t want to let having eczema stop him from having fun.
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And it’s not as bad as I thought it would be, you know, there’s a possibility that the idea of being ten meters in the air which is I guess equivalent to like four floors or, you’re not gonna complain about your hands and, and want to come down so you kind of just get on with it. And I think that brings along a sense of progression both physical and mental because you, you I think you get on with it. And I guess the term would be exfoliate but I guess if you’re, if you’re grabbing these, you know, these rough rock placements all over the wall, at the end of the day my hands were actually quite soft in a strange way, once I washed them they were quite soft. Well like, okay if there, if there’s a time to put cream on or whatever then that would be the ideal time.
Abid talks about using rubber gloves for washing up to avoid getting his hands too wet.
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Abid talks about using rubber gloves for washing up to avoid getting his hands too wet.
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Abid worried about romantic partners responding badly to his eczema.
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Abid worried about romantic partners responding badly to his eczema.
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So, so yeah. But of course you want to look your best and you want someone else to appreciate you on a, on a physical level as well. So yeah it’s it would have caused a bit more discomfort if I, if I if it was a lot more excessive but I guess people find ways around that I guess.
Abid felt more comfortable using a shop-bought moisturiser at work rather than a prescribed one.
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Abid felt more comfortable using a shop-bought moisturiser at work rather than a prescribed one.
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Abid finds it off-putting when GPs look online for information.
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Abid finds it off-putting when GPs look online for information.
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Strangely enough and this sounds very strange but I’ve, I’ve seen in more recent times again without naming any names of peoples or places or whatever but doctor’s in front of you, “oh I’ve got this, so and so blah, blah, blah I think it’s this term”, “oh okay let me just search that up for you” and they in front of you will go on Google and it was, it’s it’s such a strange experience. But that's unfair I guess to assume that one GP can know every single condition out there in the world, but it’s such an unsettling experience and it’s it’s awkward and you don’t really know what to do or say in that situation but “oh okay that’s interesting you’re on the same site as I did” [laughs]. But yeah it’s, it’s kind of hard to take that kind of advice seriously because you’ve just seen it yourself
Abid has read about diet and eczema online, but didn’t find talking to his doctor helpful about it.
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Abid has read about diet and eczema online, but didn’t find talking to his doctor helpful about it.
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Straight up went to my doctor said ‘Oh I’d like to be tested for what I’m allergic to’ and ‘Nah sorry we can’t really do that we don’t really have the facilities or I don’t think this would affect your eczema in any particular way’ or you know, these, these kind of like half-hearted jargon filled answers which you’re kind of expected to just kind of be confused and mildly acceptant of. So I got a lot of that and then it was yeah it w-, it was kind of a situation where just deal with it yourself.
Some things are realistic, some things aren’t like I don’t know if this is me personally but like keeping the idea of like a food diary is like hard work. Like I even tried downloading an App on my phone where you just record like the calories, I don’t know if you've seen sort of those.
But yeah that, that’s for some people that’s quite a that, that’s an okay alternative I guess but for me personally it’s, it’s a little bit too much of a challenge to like constantly keep track of everything, maybe because I eat too much I don’t know.
Abid says the information he finds online is not always relevant to him.
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Abid says the information he finds online is not always relevant to him.
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