A dedicated runner found himself facing a shocking diagnosis after seeking medical help for what he believed to be shingles. James Cashen, a 26-year-old marathon enthusiast, had initially been diagnosed with shingles in October 2024 during his training for the New York City Marathon. However, in August 2025, Cashen noticed a similar rash after a long run in Woodstock, N.Y., leading him to believe it was another outbreak of shingles.
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As the rash continued spreading despite antiviral treatment prescribed by his primary care doctor, Cashen became increasingly concerned. Blisters forming on his hands prompted his return to the doctor, who promptly sent him to the emergency room for further evaluation. Little did Cashen know that what he expected to be a quick visit would turn into an eight-hour ordeal.
Upon arrival at the ER, Cashen endured a long wait before an infectious disease doctor and his team finally provided some clarity. Despite initial doubts about the shingles diagnosis, Cashen found himself in an isolating quarantine room as the medical staff continued their assessment. Fortunately, the infectious disease doctor suspected a different skin condition and arranged for Cashen to see a dermatologist the next day.
The dermatologist quickly identified the mystery rash as eczema and prescribed a topical steroid, which effectively cleared up the symptoms. While Cashen joked about the expensive eczema diagnosis, he acknowledged the importance of taking his concerns seriously. Reflecting on the experience, Cashen highlighted the significance of being heard by medical professionals, noting the commonality of being dismissed or ignored.
Although faced with potentially hefty medical bills, Cashen remained optimistic, finding humour in the situation and preparing to dispute any charges. He recognised the silver lining in not having to cover additional medical expenses out of pocket for the remainder of the year. Sharing his story on social media, Cashen aimed to raise awareness about misdiagnoses and the importance of advocating for proper medical care.
As Cashen navigates the aftermath of his misdiagnosis, he emphasises the value of having health concerns addressed promptly and accurately. His unexpected journey serves as a reminder of the complexities of medical diagnoses and the critical role of thorough medical evaluation in ensuring appropriate treatment. Cashen’s resilience and humour in the face of uncertainty offer a compelling narrative of perseverance and determination in the realm of healthcare.