In a saga that dates back to before Christmas I still do not have a home phototherapy unit. Sadly, documenting the insurance denials from Western Health Advantage (WHA), made no inroads with them. They denied coverage, my dermatologist and I appealed, and they denied the appeal of the denial. Simple. The next step to procure a home phototherapy unit would need to bypass insurance coverage.
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?
Every winter, I sense the need to adjust how I care for my skin. Freezing cold night temperatures give way to cold, shortened days. My wife likes to turn up the heater, as do my workplace and the stores I frequent. I enjoy a hot shower too. But I know that my psoriasis and eczema don't necessarily take well to dry, heated air and long, hot showers. My years of experience have helped me develop ways to manage any inevitable winter flare-ups. Here are my five recommendations with a few of my doctors' thoughts peppered in.
I’m a dreamer. Psoriasis treatments, however, dash my hopes more times I care to remember. After five weeks on the new biologic medication Tremfya (guselkumab) do I dare to dream that it just might clear my skin of nasty psoriasis lesions? What is my biggest fear taking a new biologic for the first time in years?