I arrive before work, walk past the bandaged faces, the consulting room where crisps and cartons of grapes are laid out on the examination bed – presumably a team building exercise— and rap twice on the door. Long gone are the moments of discomfort when I sat next to a fellow skin sufferer and slyly stole a look at their face and tried to work out how bad their condition was. Girls in headscarves, macho East European builders, nervy young men all stared hard at the Thank you cards. A young lady amazingly made up picks at her bag. She will soon learn the first rule of light therapy. No creams, no moisturizers, no perfumed products. No cover ups. It is hard to be exposed to this level of absolute reality without making some adjustments.