Georgia

Georgia first had eczema as a child. Her eczema then cleared for several years before returning again when she was 14. She has tried many different creams, including steroids, and she now does a lot of research to learn about managing and treating eczema.
Georgia is 20 years old and works part time as an administrative assistant. Her ethnicity is White British.
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Georgia was first diagnosed with eczema when she was 3 years old. Her parents would wake up to find she was covered in blood from scratching so much in the night. She developed a skin infection and was hospitalised for several weeks as a young child. When she came home, her dad took over her care as her mum found it too upsetting to see Georgia in so much pain and confusion. Georgia remembers that she was not allowed to do many of the activities that the other young children could, such as play outside in the sun because she would become itchy and scratch when excited. The other children would sometimes stare and point at her, especially when her eczema was quite severe on her legs, arms and face.
Georgia’s eczema then cleared for about 4 years whilst she was in secondary school and during this time she mostly forgot what it had been like to live with eczema. However, aged 14, she began noticing that something was different about the skin above her upper lip. She thought it might be a cold sore at first but eventually went to see her GP who told her that it was eczema and gave her steroids and moisturisers to use. Since her early teenage years, Georgia’s eczema has returned all over her body quite severely. She does not feel that the doctors she saw then took her very seriously as they tended to prescribe her similar treatments with little success. By chance, a doctor she saw in a family planning clinic picked up on her eczema and promptly referred her to a dermatologist. This was “the biggest turnaround point” for Georgia. The dermatologist reassured Georgia that she would help get her eczema under control and outline a list of options to explore over the next 18 months. She has since tried lots of different moisturisers, steroids and is currently on a course of UV light therapy.
Eczema has a huge impact on Georgia’s life; it is painful and time-consuming to treat and affects her confidence dramatically, with knock-on effects for her social life, romantic relationship and studies. She is also aware the eczema can affect employment. For example, Georgia had a part-time retail job whilst in college and preferred to be in the stock rooms as she found it hard physically and emotionally interacting with customers on the shop floor when her eczema flared up. Both her previous and current employers have been very understanding, allowing Georgia to go for dermatology appointments and light therapy treatment as well as providing things like hand soap at work which is suitable for her skin.
Having eczema and the impact of this on her confidence means that Georgia misses out of many of the things her female peers are doing such as using make-up, dyeing her hair, wearing jewellery and going out. This is made harder by the fact that stress is a key trigger for Georgia’s eczema. She describes it as a “vicious cycle”: her eczema makes her upset about the way she looks which triggers her eczema further. She says that she is prone to stress and sometimes finds that even an argument with someone can prompt her skin to become red and itchy. Travelling abroad has been a concern for Georgia in case her suitcase gets lost with all her creams inside or that she might not be allowed to take her medications into another country. She would like to travel around the world, especially to countries around the equator, but worries that the hot climate may aggravate her skin.
Georgia’s dad, boyfriend and friendship group have all had prominent roles in the practical and emotional support around eczema for her. As she got older, Georgia’s parents stepped back and gave her more independence with treating her eczema. Georgia says that her boyfriend has been very supportive and understanding of how upsetting eczema is for her. Her boyfriend tries to reassure her and encourages her “to try new things and to go out and be the person who I should be”. However, she finds it difficult to cope with the impact on her self-esteem and struggles with confidence and physical intimacy. Georgia worries about what other people might think about her eczema and scratching. She is very conscious about leaving dry skin if she touches/hugs someone. Georgia also has to plan ahead and make sure she has her creams with her everywhere she goes. She leaves creams in different coats, bags and throughout her own house and friends’ houses so that she can access them easily at any point.
Researching treatment has been one key way that Georgia has tried to take some control over eczema as she’s become older. She recently found some blogs about topical steroid addiction and withdrawal. Georgia has used different steroids in the past when her eczema was severe and found that these helped calm her skin but she now would prefer to avoid them. She voiced her concerns about steroids to her dermatologist who was not very pleased that Georgia had been researching this as a possible route for her. Georgia thinks it would be good if dermatologists supported those patients who wanted to explore other treatment routes than steroids and to always be aware of the emotional impacts of eczema in their consultations.
Georgia talks about how it can be difficult to cope with itchiness, especially in intimate areas like near the bum, and what other people think about her scratching.

Georgia talks about how it can be difficult to cope with itchiness, especially in intimate areas like near the bum, and what other people think about her scratching.
It’s like if it’s in a really intimate place, like it sounds a bit disgusting, but I get it right under my bum cheek, like in the crease where your bum meets, meets your thigh. And if I’m in public I can’t just start scratching it, cos I’ll look like I’m trying to scratch my, my bum. And I don’t want people to be like, “What’s she doing? Why is she scratching her bum?” But it’s so hard. So I have to like go to the toilet and just be like arr because of the relief. And I try not to do it if I’m with my friends cos I know they’ll notice and I know they’ll be like, “Stop scratching. Stop it, stop it.” And sometimes people just telling you to stop can make you want to do it more. It, it’s one of those things though, isn’t it? You tell somebody not to do something and off they go and do it. And it almost starts off like a trigger reaction sometimes. So if I’ve got a scra-, like an itch on my leg, I’ll slowly make my, my way up my leg and up my body and then back down the other one.
Georgia started to get eczema on her upper lip after several years without it. At first she thought was a cold sore.
Georgia started to get eczema on her upper lip after several years without it. At first she thought was a cold sore.
It wasn’t until a doctor at a sexual health clinic asked Georgia about the eczema on her face that she felt it was taken seriously.
It wasn’t until a doctor at a sexual health clinic asked Georgia about the eczema on her face that she felt it was taken seriously.
And I think that was the biggest turnaround point for me. And it kind of made me lose a bit of faith in some of my doctors because they weren’t, didn’t take me seriously as a patient. I mean I haven’t got anything about the, against the NHS or anything like that. I just felt like I wasn’t taken seriously. Which obviously makes you lose a bit of faith and a bit of confidence in not only yourself, because you don’t feel as though your problem is serious enough, but also because it didn’t feel like they’d picked up on it properly. So I think when I, when that happened, it, I really felt like it was going to turn around and it would be getting better soon because he’d picked up on it and I’d be referred to a dermatologist. Which is what I’d been asking for ages.
Georgia has moisturiser ‘stations’ in the several of the places where she spends her time.

Georgia has moisturiser ‘stations’ in the several of the places where she spends her time.
Georgia worries that other people will smell her emollients.
Georgia worries that other people will smell her emollients.
Georgia finds that baths help her relax and using bath oils keeps her skin moisturised.
Georgia finds that baths help her relax and using bath oils keeps her skin moisturised.
Georgia has researched online about topical steroid withdrawal. She’d like to explore other treatment routes with her dermatologist.
Georgia has researched online about topical steroid withdrawal. She’d like to explore other treatment routes with her dermatologist.
Georgia describes what it’s like having phototherapy at her hospital.
Georgia describes what it’s like having phototherapy at her hospital.
Georgia would like to manage her eczema in a more “holistic” way. She’s taking supplements to see if this helps.
Georgia would like to manage her eczema in a more “holistic” way. She’s taking supplements to see if this helps.
Georgia talks about scratching itchy eczema as leading to infections.

Georgia talks about scratching itchy eczema as leading to infections.
Yeah.
…to get in and things like that. I think I’m really bad for that.
Georgia has eczema above her top lip and finds it often becomes infected.
Georgia has eczema above her top lip and finds it often becomes infected.
Oh yeah.
…or something like that. I have read people’s blogs that have picked up those kind of infections because their skin is so open and inflamed and things like that.
Georgia was in hospital for infected eczema when she was little.

Georgia was in hospital for infected eczema when she was little.
I remember coming home. My dad took over most of it. My mum kinda took a step back. I think it was quite painful for her to watch me cry and scratch and not understand it.
Georgia felt positive and hopeful after her first dermatology appointment.
Georgia felt positive and hopeful after her first dermatology appointment.
Georgia was referred to see a counsellor to talk about her low self-esteem.
Georgia was referred to see a counsellor to talk about her low self-esteem.
Georgia talks about the worries she had when she went on holiday.

Georgia talks about the worries she had when she went on holiday.
I went with my boyfriend and his brother and his wife we went to Italy. And it was quite cold, so it wasn’t, there wasn’t a lot of heat to aggravate my skin and make me hot and bothered. But it wasn’t too cold that it would dry out my skin. So it was just right in that sense. But I remember packing and getting really stressed out about what I could take and about certain weights and what clothes I should wear and things like that. And it came out on my face and on my skin all over my arms and my chest area. And I was red, like bright red and puffy for about the first half of the holiday. And then I calmed down and I was relaxing and enjoying myself and it seemed to dissipate and it went back to normal almost. So in that sense it was quite traumatic for the sense that it was my first holiday and I had to sort it all out on my own. And I had to worry about all those little things that people shouldn’t have to worry about [laughs] when they go abroad. It’s just little things that really irritate me that, about having eczema.
Sleep deprivation is a concern for Georgia. She has a number of strategies for winding down at the end of a day.

Sleep deprivation is a concern for Georgia. She has a number of strategies for winding down at the end of a day.
I try and keep my room as cool as possible so I don’t wake up hot and irritated. I try and use light, light bedding, so again I don’t get hot. I’ve been using Atarax antihistamine which has drowsy effects so that helps me sleep a bit better, drops off a bit better. I try to sort of, sort of about an hour and a half before bed I’ll get into my routine of
Getting into the bath and putting on moisturisers. And calming myself down, making sure I’m not watching TV or on my phone or anything. I try and sort of, I don’t know, just, not meditate but calm down and think about things. And maybe read a book if I can or just potter about and tidy things up and put things away. Just anything to sort of calm me down and slow my processes down, so I’m not irritated or aggravated about anything. Which is what is hard about if I go out, I can’t do those things when I come back. I’m usually just so intent on getting to bed cos I’m tired or I’m still a bit drunk and just want to go to bed. It is a bit difficult.
As Georgia got older, her parents became less involved with her eczema.
As Georgia got older, her parents became less involved with her eczema.
Georgia’s dad was very involved in her eczema treatments as a child.
Georgia’s dad was very involved in her eczema treatments as a child.
Georgia is careful to avoid triggers when she uses the bath and washing machine.
Georgia is careful to avoid triggers when she uses the bath and washing machine.
Georgia and her friends support one another in practical and emotional ways.
Georgia and her friends support one another in practical and emotional ways.
Georgia decided against training to become a vet because she’s allergic to animals.

Georgia decided against training to become a vet because she’s allergic to animals.
Has it affected any other sort of career options or things you’d like to do?
No, not in, not in that respect, no. I think it’s, because it’s held me back a little bit, it’s made me more sort of thoughtful about what I want to do with, do with my life. Like I know I like to help people. But it’s helped me, I think sort of dropping out of my A-levels and having to have a think about what, what route I’d have to take it, in that respect it’s, it’s helped me mature a bit more and think whether that would be a suitable option for me in, for the kind of person I am.