Dr. Frita Fisher

Oh, gosh.

So when I first saw it, I had all kinds of speculations.

Could it be shingles?

Could it be a fungal infection?

Could it be cellulitis?

Is he just irritated?

With him having the history of bruising, is it some type of a big bruise that turned into a hematoma that eroded?

But then his doctor shared a somewhat general statement saying that the rash is due to a skin cream that is being used for preventive measures.

That's all that was said.

I believe that based on his statement, first of all, when I first saw it, I told you the things that I thought it could be in really high on my differential was shingles and shingles is a blistering disease.

It's a reactivation of the chickenpox virus.

So if you've ever had chickenpox and the chickenpox has gone away, it lives like in your, your spinal cord, it lives in your nervous system.

And if you are elderly, especially.

If you are stressed out, if you have a compromised immune system, then you can get a reactivation of this chickenpox virus and it presents as a red blistering, sometimes crusty rash.

Usually, not usually, always just on one side of the body in a dermatome.

And so that was my top differential because I'm like, okay, he's launching a war.

He just had the longest state of the union in history.

I was like, this man is stressed out, probably immunocompromised.

That's what I thought that it was.

But now given this mysterious statement by his doctor, I'm thinking that the preventive cream is for something else.