Back in residency, when I was 28, I was feeling much older than my age. I felt tired and run down. I could blame it on the 100 hour work weeks but it felt like it wasn't just sleep deprivation. I had rosacea which where my cheeks were red, with deep pores, and little telangiectasias (little blood vessels) around my nose creases. Make up couldn't cover it up. I also had an inflammatory eye condition called episcleritis where I had bright red nodules in my eyes and everyone would ask me if I knew I had red eyes. Ugh. I was so frustrated and maybe vain but nonetheless, I didn't feel healthy. I felt bloated after every meal and just wanted to desperately take a nap, which was a combination of the 100 hour work week but also my diet. I started taking doxycycline orally which is an antibiotic and another topically for the rosacea. I was using steroid eye drops for the eye condition which will some day maybe still cause cataracts. ...