important to teens and others personally i have dealt with severe acne since i was twelve and i know many others have as well there are many times when people would look all over my face at my acne instead of looking into my eyes when i spoke it was hard for me to go in public face makeup and every time i did i would regret not wearing face makeup someone i didn't trust got a hold of a picture of me without face makeup a new is my biggest insecurity and send it to me i started accutane around a month ago and i remember tears filling my eyes because i found out there would finally be a solution to one of my biggest insecurities many people who don't deal with acne do not know this feeling or the impact it has on your confidence the global burden of disease study claims that acne affects eighty five percent of young actually found accutane first so i was really like insecure and just kind of fed up with having acting so i went on the internet and i searched out a local dermatologist and i found dr petri who lives here he works like right off of route and he's close so i scheduled an appointment with him and during the appointment we were talking about like solutions to my acne and he was like talking about certain medications and then accutane came up in a conversation and he said that accutane is like it's really good and has been proven to be more effective than other solutions so we had particularly a little bit more of an aggressive kind of acne so i was like yeah that's go for accutane i got it from him  but like because he had started and he was on for like two months and then i went on because i was like i'm going to face is clearing up beautifully and yet horrible like a movie of you know if you look bad but it's like i did a whole bunch of research on because i thought he was on it but i'm a female so it's obvious he can be different for me so i was doing a whole bunch of homework for about like a month of searching into and seeing how it would go and then after that i had decided to go to the same doctor he went to and i was like ok i'm going to get on accutane i get on about two months after him so what are some like precautions that you guys had to take like storing accutane as a female it was different for me for you or me are like no precautions to deal with you know he really just of like a girl like i had to do a whole bunch of different stuff like actually before you start you have to you have to take a pregnancy test and it has to be a negative pregnancy test obviously and then you have to wait thirty days and then take another not going to donate blood or get pregnant within this time frame a whole bunch of different like things you have to take precautionary measure so about pregnancy like what are the risks like why can't you get pregnant on this pill it all over the boxes do not get pregnant and then i had like pictures of the birth defects that could happen with the kids the kids the babies but it was really intense and so you know just be very careful that's why they push for abstinence really intensely  he was nicknamed like lip gloss card in our dear teachers coleman said oh yeah mr or and and then the like i think that was the we had to shared like symptoms was was dry skin intensely everywhere no matter what and then bloody noses at that for an mc and then i got body aches my spine got so sensitive if i was like i need any time i would like lay down i had to like wait and wait for my spine to settle and it was so painful i got body aches and then i lost a lot of hair but i also purged in the beginning so like my face like they call it the purging period where your face starts to like get rid of a whole bunch of so you get a lot of acting the beginning and then it goes up and up you've got that you know that kind of like started it just it's  my chest i had it on my shoulders i had it on my face like it just like when all over the same i was just there i got one poor on line chest and on my nose i remember that wasn't covered in acne and  be a lot better because i remember whenever i was taking it at the time and like before i really didn't like going out into public because i knew that people would be looking around waiting and sort of like my actual eyes but now like i found myself in conversation aisha so like my face got so red you know see my face is naturally red so the dermatologist said that they were going to try to like take care of that after they got they cleared my acne so  like how did it how much shorter it was like your whole skin carotene like in the morning and like taking off makeup is shorter so like how did it change your whole like routines like for  for me though i had it my face was so dry so i had to take extra measures to moisturize it so like sometimes awkward for that we would have which is basically just vaseline i would like put a very light layer over my face and then i would put on sometimes i put i mean i always use like different combinations of oils on my face because it's a lot my face responds well to oils well some people doesn't so i would use like a hobo oil coconut oil or like all of oil and put that on my face all four because otherwise it would get too dry and then sometimes i have to put more moisture eyes are on so it was really annoying taking off my makeup was easy though because like at the point like you just take off your makeup is normal but it's it's too much of an aggressive treatment because you're on a fairly good good amount of time and like there on the forty milligrams yeah that's like one of the higher dose it was the highest like number twenty milligrams a lot of people start on twenty we started on forty and then he upped my dosage to sixty for the like two months i was on a for eight months he wanted for six months i'm on seven of them whereas he would normally just be on a for six months and we we had such aggressive acne for about eight or nine years so we had  have like a good day or two of good face and then it would just go back so did like facemasks work for you guys at all or did it like because i tried facemasks and recently rarely because we never had any luck with face mask but we did a couple times to try it out but never did we have any success so that's when i like actually start to look into dermatologist the main thing though with the face mask so we i think we only ever used it for this purpose but nothing really for acne it wouldn't work that way yeah i use masks and it doesn't really work that well i can make my skin glow for a second and then just like fail so that's all the time we have for now but we will be back after the break to continue talking about my grandfather served in world war two spending time with him were the best memories of my life i became a physician in v a because of my grandfather so i can help others like him i can't imagine working with better doctors or more dedicated staff fulfilling my life's mission with the help of my team and thanks to these veterans i'm proud to be a doctor in v a and proud to honor my grandfather every day search v a careers to find out more back from the break and we're going to continue talking about care so how is your diet like before accutane before ok well it was really bad before we had acne accutane because i was cleaning out my diet and eating better and also exercising more and that definitely helped the product like my acne go away faster and like keeping it like that eating healthier sense i've been has definitely kept my skin much like healthier and cleaner so i think diet steffen really of huge contributor to why my skin flute is right now and do you like increase how much each rank water to oh my gosh i think i would drink like two cups of water a day now i make it a point to drink at least a gallon oh my god i like barely drink water water water even now being like our face will be affected or acne in general anywhere will be affected if we don't drink water not as much like our diet and our water intake completely affected you know a days and people get really mad whenever they see acne show up post accutane but it's really just your diet and your excess between it's living a healthy lifestyle so like what is going on what  advice would you give to someone who doesn't really know like they don't exercise like what advice would you give to them i would definitely start to consider healthier options exercising was definitely like a huge thing i started running a lot i was biking a lot like that and like i would also do with my dog who just made him feel better and like i felt like he was like help me through the process like we were doing it together it was it was good and i can still do it yeah you can definitely like when it comes to your act he can definitely reverse a lot of it by changing your diet before even having to go on the pill like the pills because like i know a lot of people who just change their diet ate healthy or drink a gallon of water a day and they had significant effects significant changes to their skin it's i think it's whenever you've had it for as long as us because we've gone in to like bits of health here acne and like both of them combined just not not have been so that's definitely why we were like ok we need like some type of medical house with this so about your parents how did they help you through the process  ok my mom she got me like a huge public coconut oil because like i got a rash i still have a rash on my arm from the accutane so i whenever i was working at paramount and like i was a dishwasher and a server there whenever i would dishwasher i had to w i think silicone gloves and my hands really hated the silicone gloves plus like the moisture as well so i got horrible rashes on my hands and they were painful and red and even you saw them and every one to do it was with your and they were like it looks like an allergic reaction my gosh so what would you say to like people who have acne and like they like are like fed up and they're like confidence is really low like i like if you can go back and tell them like after  occupation process what would you say to them after that is improper your accutane process like knowing that you want to do the same thing i would say definitely consider it because it helps a lot like my confidence so much like i have no problem going out in the public now i i'm so much more confident in my skin i remember like in gym in like the first freshman sophomore year i didn't want to take off my shirt because i had back and shoulder acne so i would like to leave it on but it definitely  my my confidence amazing i would consider it definitely but do your homework don't just go into it willy nilly and losers just because they're great results like it is a steroid it will have some adverse effects on you and you need to know what you're getting yourself into look at the history of the drug look at everything there was a lot of risky things that i was looking into and then i was told afterwards that happen to a lot of people the adverse reactions did not did not go well and so you just have to take it like piece by piece and see what you're willing to risk yeah there's also like depression also that could be like a side effect but it's like less than one percent but i don't think i think it's more circumstantial in that case i think honestly personally because there's not a lot of studies done on that one i think it's just if you are already depressed have a history of depression you're more likely to go like relapse into depression just because it's a steroid you're messing with your hormones i think more like when i was like after the accutane it definitely helped with my mental health well because like i care more about also yeah like i don't like depression i think that's so i just don't think that would ever happen on accutane because it just it really does help not only like physically type of person yeah so like how did your face makeup affect your acne like before accutane before i detained i mean i was combination skin i had a very large pores it was hard to keep makeup on my face would slip and slide throughout the end of the day and then it was just annoying to work with and i love makeup it's fun to play with and i wear off unnoticed because it's the end of the year and i'm so tired but ok but it was it was really hard to work with and i used to wear so much just to get the desired result of covering my face enough but now it's really nothing like i don't mean even aware face makeup like nine times out of ten so whenever you do or face makeup is it nothing really and it's just so nice and manageable although you just got to really not like it's not just willy nilly you really got to like you know what you're getting yourself and do so like how is your hair affected like after accutane it was dry and also like the process for her growth because like i obviously shaved my face and whenever i was on accutane i feel like i shaved my face probably like twice a week it was more like once every two weeks i was like ok i could go like five days with a washing my hair and their viewpoint i'm like ok my hair is not oily but i should just wash it now like it's around the time like i should but it would never really needed to be washed didn't you say like we were talking before how your hair got much thinner  was more me i think because i kept messing up when to take the pill and then i kept taking like three at a time it was bad and so yeah you know those do that i think i messed up a lot of things in there so remembering to take the pill definitely was you know i don't know i don't think sometimes liked in the morning i'm like oh i have to say oh yeah i think like my irregularity with taking the pill really took an effect on my hair setting but i also know a lot of people whose hair thinned out a lot even when they were taking it normally so like i had a very thick of a luminous curly hair and it's gotten curlier but i did lose fifty percent of my hair so it's not as though luminous as it was so what advice would you guys give to people who like take it irregular and then it like makes the side effects worse like how do you like what are some tips tips for them i mean get a reminder on your phone calendar and i would always like to try to i could sometimes write it on my hand birth control so it's hard to pick only a very specific time but it depends like you can take it i take it like typically i'm not a clock but if you take it like two hours or three hours later it's not a big deal but if it's like twelve twelve hours later big deal know see i didn't have to worry about that i was not on birth control doing that so i hear people have to get gets very annoying to sync up the time i don't know well you know so why do you most people sometimes topical creams because i know my cousin diana she currently is on a topical cream and she's like saying it's working significantly yes and then an antibiotic and it's very nice and easy for her and it worked well for her to like for us to have a more aggressive and our dermatologist was like definitely consider accutane and then when like once we did our research and really like considered it we were like ok we're going to go for it so what would you say to parents who like are against accutane like for their kid and the kid needs it like what would you say to are the facts and not your assumptions and then after like two months of us like really doing and they started like i was actually does work as a good for them like we kept the process going on even longer like she was person like a month it was like originally just post the like intensely ayana for me at least obviously like health and i would definitely consider like i take more like vitamins i got to go buy a tendency to like a multivitamin that definitely helps like and like the water that i drink well that's all the time we have for today thank you guys for coming acme is not a permanent burden there is treatment available and precautions people can take overall people need to be more accepting of natural skin and i hope today you learned about more about