Avoiding Poison Ivy with Lymphedema

World Lymphedema Day, March 6, came and went before I was ready to report on my latest insights into lymphedema that I have managed since breast cancer treatment in 2010. While I am not a medical professional, I hope my recent experience with poison ivy will help others in similar situations.

We all know the adage “leaves of three, let them be.” That is good but incomplete advice because poison ivy can cause a rash when leaves are nowhere in sight. Stems, roots and vines, including secondary contact, can cause reactions. The toxic oil, urushiol, lingers. One year I got an awful rash from moving railroad ties out of a garden spot. Lesson learned, almost. This year, my rash was from a hairy poison ivy vine caught up in honeysuckle vines choking a lilac. While I should have known better, I snipped the vine and, wearing gloves, carried it away.

I was careless. All it takes is one lapse. In this case, on the first beautiful day after a cold spell, I went outside in gardening boots, jeans and a sleeveless shirt. The rubber gloves I wore offered no protection above the elbow. Even though I thought I was being careful, it did not take more than a quick brush with a hairy root to set off alarms in my skin, mostly in my left arm because I do try to protect my right arm from harm.

Where I live, in the countryside, poison ivy is everywhere because of the years I avoided doing much yard work and because, with my history of cancer, I do not like herbicides. Do not do what I did! Cover up fully and be careful removing shoes, socks, etcetera and then wash clothing separately in hot water without touching the clothes as you drop them into the washer. Be sure to clean pruners and other tools. (I spray mine with alcohol and then wash with soap.)

Fortunately, the recent rash on my lymphedema limb was not as bad as it was on the other arm. I acted quickly and got most oil off with Lava soap and a washcloth. The three small patches on my right arm healed quickly without any repercussions because I keep on hand both a prescription cream and a homeopathic one recommended by a physician. Calamine lotion is not enough for me. Still, this bout illustrates negligence. I should not have put my arm in harm’s way.

Poison ivy rashes can lead to flare-ups and more swelling. Infections can lead to cellulitis. There are other repercussions you likely know of, especially the ones more specific to you, if you are living with lymphedema. After I healed from the recent rash, I went back to my long-sleeved shirt and other suitable tricks for working in the yard, adding to my regimen the removal of boots with paper towels. Since one of my goals for old age is to work in the yard more, I will try harder to coexist with poison ivy.

This piece reflects the author’s personal experience and perspective. For medical advice, please consult your health care provider.

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