24 weeks ago on Monday, August 21, 2017, I took my first injection of Tremfya (guselkumab) to treat my severe psoriasis. That day I witnessed a solar eclipse as I drove to the dermatology clinic in Sacramento. I recalled the day in grade school (February 26, 1979) when the last total solar eclipse occurred in the Northern Hemisphere. That's around the time when the first psoriasis lesions emerged on my skin. Almost forty years later, would Tremfya finally be the treatment to eclipse the nagging psoriasis all over my skin? A pattern has emerged.
I have many triggers for my psoriasis and eczema skin conditions. One of those triggers is a surefire way to get the inflammation going on skin. It's one I unfortunately experienced this week: contracting a infection.
On Sunday evening I took the fourth Tremfya (guselkumab) injection out of the refrigerator. As I carefully opened the box the instructions fell out onto the desk. I thought, hey, I know how to inject a syringe subcutaneously, so I don't need to look at it. But a seed of doubt entered my mind: have I really injected Tremfya correctly?
I learned to live courageously partly from facing the challenges that come with psoriasis. It takes courage to endure what you don’t comprehend, to face the unrelenting bullying and teasing from classmates, and to survive the anxiety and fear of uncertainty. All these came with psoriasis at various times in my life.
I couldn’t believe what I read in a letter dated November 21 from Western Health Advantage (WHA), my health insurance provided. They approved my continuation of care request for one more visit in December.I’d already said goodbye to Dr. M and his team at the November appointment. With excitement, I called the Dermatology department to book my last dermatology visit at UC Davis Health. That last appointment, while hard to book, helped me assess my progress and figure out next steps for psoriasis and eczema treatments.