Page 3 of 5 FirstFirst 12345 LastLast
Results 21 to 30 of 45

Thread: Q&A with Dr Chu

  1. #21
    Member
    Join Date
    Nov 2008
    Posts
    35

    Default

    Dr Chu,

    Is it possible to develop Ocular Rosacea in one eye? I have mild Rosacea, 1 or 2 pauples and the redness is subsiding with use of Metrogel 0.75 on the cheeks and Finacea on the nose and chin.

    My right eye from time to time seems slighty blood shot and uncomfortable in the left hand corner. I wear contacts however have stopped for a few weeks due to this problem, seen a Opthamologist regarding this and basically told it was a case of dry eye and prescribed an eye drop antibiotic (Chloramphenicol) which i used for 3 days as prescribed, could this type of antibiotic drop excacerbate the problem?

  2. #22
    Senior Member TheMediumDog's Avatar
    Join Date
    Aug 2007
    Location
    UK
    Posts
    1,526

    Default

    Dr Chu,

    Have you ever observed the following as a side-effect of long-term antibiotics ( various tetracyclines, 4 years. Effects arriving after around 2 years):

    The outermost layer of the skin loosing its integrity (gradually, over a period of around 6 months, and as said lasting, now, 2 years and counting; localized by and large in rosacea-affected areas), and tending to come off very easily in little shreds, with washing. Consequent loss of barrier function (the skin looks very dry and parched; it has trouble keeping out irritants, etc). Much increased sebum production (to extremely high levels), seemingly as a reaction.

    (I thought maybe the long-term antibiotics may have encouraged the overgrowth of certain skin flora whose byproducts damage the integrity of the outer layer of the skin? Or maybe there is some other mechanism, like a low-level reaction?).

    So my question: Have you ever seen this before as a consequence of long-term antibiotics; or does it sound so unlikely that I should look for an alternative explanation?

    Thanks a lot for sparing time for this Q&A,
    Alex
    Last edited by TheMediumDog; 22nd January 2009 at 08:05 AM.

  3. #23
    Senior Member
    Join Date
    Sep 2008
    Posts
    535

    Default

    Dr Chu,

    I have suffered rosacea for 4 years and acne for 14 years. Last year I had my thyroid removed am now on 100ug of thyroxine. Since the surgery my rosacea has flared and I now have many papules and also run of the mill acne. Do you believe there is a link between these skin conditions and hormones or auto-inflammatory disease and how can I treat them if I cannot tolerate systemic drugs? (have tried OCP, doxy, minocycline, azithromycin and mirtazapine with possible pancreas involvement).

    Thanks for your time.

  4. #24
    Senior Member
    Join Date
    Jul 2007
    Location
    PA
    Posts
    176

    Default

    Dr. Chu,

    My orginal question was going to be about lasers for rosacea but I have since learned that you are not a big fan of lasers..

    My question is do you think Remeron helps male patients for the treatment of flushing? And can this be used with Clonidine?

    What is your opinion of RED LED?

    Lastly, what are the best treatments for ocular rosacea?

    thanks alot
    take care,

    John

  5. #25
    Senior Member Peter's Avatar
    Join Date
    Jun 2005
    Location
    UK
    Posts
    1,085

    Default

    Quote Originally Posted by jhnnygdy View Post
    What is your opinion of RED LED?
    Hello John

    I have used up my one question. Regarding the LED do you think it might be worth expanding your question into as follows?

    ďYou have had some patients who have managed to help control their rosacea by utilising red light from a specific source e.g. LEDís / fluorescent tubes. Why do you think this helps and do you have a start date available yet for the Clinical study on red light for rosacea at the Hammersmith Hospital?Ē

    Itís completely up to you but I think itís worth getting a bit more mileage out of this one if possible.

    Regards

    Peter

  6. #26
    Retired Moderator
    Join Date
    Aug 2007
    Posts
    1,451

    Default

    Peter-
    Just wondering aloud here since you seem to be a bit frustrated by the one question limit, but aren't you a regular patient of Dr. Chu's and therefore have the ability to ask him all your questions to his face?
    You could find out the answers to your questions during on of your visits and let us all know the answers you received.
    That would allow Dr. Chu more time to answer those people who don't have the ability to visit him?
    Just a thought.
    Rob

  7. #27
    Senior Member Peter's Avatar
    Join Date
    Jun 2005
    Location
    UK
    Posts
    1,085

    Default

    Hello Rob

    Ok Iíll do some wondering out aloud as well

    If the rule is one question per member then I have no problem with that at all but as you see some people are asking more than one question at a time which defeats the object really.

    After seeing him as a patient for nearly 7 years Tony Chu signed me off a few years back as my rosacea is no longer a problem, so other than the occasional e mail I donít speak to him that often. Believe me when I saw him I used to ask many questions and some of his answers and advice to me regarding the treatment of rosacea I have attempted to share with others on my posts on here over the years. As already mentioned he is a very busy guy and incredibly difficult to get hold of. Last year I approached him by e mail about an Internet Forum Q&A session and he agreed to this. With the help of a couple of members on the RSC we put together a list of around 12 topical questions covering all aspects of rosacea for him to answer and then the results would be posted up for everybody to share.

    Probably because of his workload he never got round to submitting his answers and I was planning to chase him up again but obviously he has now agreed to do an open Q&A session on here, which given his knowledge and success treating this condition is I think great for the rosacea community as a whole.

    The only reason I put my last post up was because I thought John might like to expand his question a bit so we get a better response regarding Tonyís thoughts on red light with rosacea and what the future might hold for this form of treatment. Thatís entirely up to John and I donít want to interfere in anyway so I will now stay away.

    However if someone really wants to submit a question but canít think of anything to ask or needs some advice then send me a PM and Iíll try and help.

    Thanks

    Peter

  8. #28
    Retired Moderator
    Join Date
    Aug 2007
    Posts
    1,451

    Default

    Oh, my misunderstanding then. I assumed that you still went to him at least semi-regularly based upon your history with him and when you called him "Tony" in your first question I mistakenly assumed an ongoing close familiarity/relationship. I'm sorry, I totally misinterpreted that.

    Knowing Dr. Chu as you obviously do however, you can understand our concern over asking too many questions. It is the mod's goal to provide them simply and effectively. As you have noted, some people's questions have veered off tangent and have included more than one in a particular post so in the interest of brevity and accuracy, they may need to be edited and will definitely be reformatted for Dr. Chu's ease.

    Thanks for looking out for everyone and offering to help via PM as I am sure you more than most appreciate Sarah's hard work in getting these questions arranged and answered where others have failed.

    Again, sorry if I misunderstood.
    Rob
    Last edited by boyandhisdog; 20th January 2009 at 05:43 PM.

  9. #29
    Senior Member Peter's Avatar
    Join Date
    Jun 2005
    Location
    UK
    Posts
    1,085

    Default

    Hello Rob

    No need to apologise - I saw him last about 18 months ago when I sat in on Natalja's appointment with him but I have always been on first name terms with him. In his days with the ASG it was always Tony Chu whenever he was mentioned rather than Dr Chu and I suppose that sticks. To me he has always been a normal type of a bloke rather than some of these stuck up medical people you can often come across. That's one of the reasons he was easy to talk to and always reassuring.

    I'm sure Sarah will do a more than capable job sorting the questions out for him and correlating the answers for presentation.


    Quote Originally Posted by boyandhisdog View Post
    Thanks for looking out for everyone and offering to help via PM as I am sure you more than most appreciate Sarah's hard work in getting these questions arranged and answered where others have failed.
    Rob
    Always happy to help whenever I can. Not sure anybody has failed as such but because Sarah is still a patient of his and sees him on a regular basis then she is better placed to make this work and flutter her eyelashes if necessary

    Anyway I'll leave you all to it.

    Thanks

    Peter

  10. #30
    Senior Member RedFaced's Avatar
    Join Date
    Jul 2008
    Posts
    329

    Default

    Hello Dr. Chu, thanks a lot for taking time out of your busy schedule to answer a few questions of mine and of course, everyone else's.

    1. a) What is/are the best treatment(s) for early stages of rhinophyma (aside from Accutane). I was on Accutane for 8 months 1 year ago and cannot go back on due to side effects, it seemed to have exacberated my flushing issues.

    b) Are early stages of Rhinophyma reversible? How long does one have before the bumps, redness, swelling become permanent etc.

    2. What is the best treatment for the neurological compenent of Rosacea?

    3. What are your thoughts on Rosacea Ltd. For your reference: The ingredients of Rosacea Ltd III are: zinc oxide, magnesium stearate, sodium chloride, iron oxide, copper oxide, polyethylene glycol, and sulfur (sulfur is used externally only and not to be confused with sulfa which is taken internally only). These ingredients are compressed under 22,000 pounds of pressure per square inch into a very concentrated smooth solid disk which will dissolve off the proper amount when glided over a wetted skin.
    http://www.rosacea-ltd-flushing.com/what_is.php4

    4. What are your thoughts on pure Jojoba oil as a treatment and moisturizer for Rosacea?

    5. What are your throughts on oral Zinc as a supplement for rosacea?

    6. I have read from studies as well as patient stories/reviews of finding great success with Antimilarials such a Mepacrine. If this medication is not available (as the case in Canada and the United States) what other Antimalarials would you suggest trying for non responsive or difficult Rosacea?

    7. On a personal note, Rosacea specialists are few and far between - are you available/able to take on patients from other countries? If so, what would be the procedure. If not, would you happen to know of any leading specialists such as yourself in Toronto, Canada? I can contact your office directly if you are able to be of any assistance.

    Once again, thank you so very much for answering these questions.

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •