(Note: this is one of my rare super-personal posts that some may find icky and TMI. I think it’s important to write about here. Consider this your warning. Cut for the squeamish.)
There are probably a few people here who I haven’t seen in a month or two who I might be seeing at upcoming events like the September Blogger Meetup, Mobile Camp Vancouver 2 (tomorrow!), Launch Party 5, BarCamp Vancouver, and others. I realized upon reflecting yesterday that those people who haven’t seen me might be in for a bit of a shock when they do.

The above picture from Photobooth doesn’t show it very well, but the shadow of my neck is actually a very deep red rash. The bumpy texture on my eyes isn’t all camera noise – they are actually flushed red beneath the skin and scaly. Not apparent in the picture is how flaky my ears or the back of my neck are. My non-expert opinion is that the somewhat-in-control eczema I’ve had with me for a very long time has now bloomed into something vaguely psoriasis-like. I also experienced a random episode of the hives, and seeing as it did not seem to be triggered by my typical triggers, I am stumped as to the cause. (More on that later.)
It’s been a bit jarring, to return to what I consider a state of visible physical disfigurement. I grew up with it wearing a brace for scoliosis from the ages of 7 to 12. That never affected my face though, which is the part that is new for me. But it did, and it has, given me terms of reference from which I can consider the state of being ill.
The thing I find absolutely wonderful is that for the three weeks I’ve been like this, I’ve had approximately zero people mention it in a way that made me feel uncomfortable – even people who I had never met. I have not felt that people have avoided talking to me because of it, even in a situation with high potential for social awkwardness like the CUTA Youth Summit (where over 80 of us did not know each other then quickly glommed into groups and cliques over the course of a weekend). Oh, the difference 20 or so years of maturity will make. I’m sure for some people it has made a difference, made me unapproachable or less interesting. But perhaps I’ve been interesting enough in conversation to win that person over when they eventually overhear what I’m passionate about. I’m glad I have this, instead of reverting to being a shirking violet like I did from years 7 to 16.
Some of my friends have been very candid and forthright about their struggles with their health online, showing incredible strength and grace, and have inspired me to write about my situation right now.
One thing I do have to say about other people’s concern: many people are very graciously and generously concerned for my health and want me to seek treatment for this. The problem is that I already have, back when the problem wasn’t this bad, and after weighing the information carefully I’m pretty close to convinced that those treatments (corticosteroids, tetracycline antibiotics) are in fact making the problem worse, in combination with some factors of the environments I find myself in (moldy, dusty, other allergen-filled). So I’m pursuing an alternative method of treatment, one that will likely take anywhere from 3 to 6 months to see effect, as well as making several changes in my life. I’m also hoping to find new ways to deal with the stress that is really the root of this problem.
I’m ready for it, personally. The quick fixes have not worked for 10 years, I’m ready to try something for the longer haul that might yield other benefits elsewhere. But until then, I will need to gauge in conversation and daily life whether people are having problems looking me in the eye or holding my gaze when I speak to them.
So. My point in saying this here?
This exists, so don’t be surprised. I’m OK. If you must, please draw attention to it in an appropriately calm and sensitive fashion. It’s not as bad as it looks – at least probably not when you see me.

4 Comments
Hi Karen,
I could access your blog from a friend’s place! Anyhow, I was going to say that, as long as you are taking care of yourself, you shouldn’t worry about anything. I think that you are awesome, regardless of whatever the rash is doing. The question, i think, to us your friends is, does the rash create any pain? How it looks is less relevant than any kind of actual physical discomfort that it may cause.
If people are your friends, they’ll be genuinely concerned about your well being, not about how the neck looks. All I want is for you to be well
Many hugs, and looking forward to seeing you upon my return.
Ugh, sorry to hear that it’s still not going away. :-/ Be sure that it *isn’t* actually some kind of virus, just in case! But as I’m sure you know, coricosteroids and what not just kind of dull the annoyance rather than actually getting to the root of the problem. Plus, long term they can actually suppress your immune system further. Wish I had some more rash wisdom to share, luckily it’s not a common annoyance for me–if you start suspecting it’s allergies, I’m a wealth of info on those, so feel free to pick my brain.
We’re all adults now–I’m sure that nobody’s going to give you grief for such a thing, just take care of yourself!
Dear Karen
We met yesterday during the MobileCamp at Workspace, and I appreciated your energy and creativity. Please don’t lose a moment of your life thinking about that (others, Myth of perfection) and obviously take care of yourself. I suggest you remove this Post, move to another chapter in your life. I hope meet you again soon.
Hi Karen,
It’s been awhile since we’ve last been in touch (well, other than randomly bumping into you on the street a few months ago). But if empathy can provide any kind of consolation, I’ve been dealing with a similar sort of thing for the past 20 years myself and I know just how you feel and how frustrating it can all be.
That said, have you heard of a new-ish treatment known as “biologics”? Apparently, there are actually few dermatologists using it yet but perhaps it may hold a key for you.