coronavirus, psoriasis

Coronavirus Lockdown Journal Week 5: April 20-26

On March 19, 2020 California Governor Newsom announced a statewide stay-at-home order. Here is a screenshot from my phone:

Recently both the county and state extended the lockdown to May 1st. With the president and governors talking about opening up the economy again, there is hope this lockdown will end soon. 

Until then, Lori and I plan to post a weekly journal updated every day or two to mark thoughts, reflections, and news related to life sheltering-at-home.

This is week 5 of the lockdown.


Sunday, April 26, 2020

Resting and Sabbath

My sabbatical from church ends in about a month. Something I desperately looked forward to was a break from the grind of church ministry. After fifteen years of pastoral ministry without a longer break, together with the challenges and crises the family faced, I desperately wanted some time to rest.

Before I started my sabbatical an acquaintance asked me about my plans. I briefly mentioned travel, writing, and sleeping in whenever I wanted to. He told me those activities would no doubt be life giving. He also stressed the importance of mentally gaining distance and perspective from my daily work.

As I hit third base and turn toward home (excuse the baseball analogy), I can see the past three months have not turned out anything like I expected. I did travel a bit in February, but had to cancel the rest of my trips. I’ve blogged more, but haven’t come around to working on my book or study guide.

As I hit third base and turn toward home (excuse the baseball analogy), I can see the past three months have not turned out anything like I expected.

Sleeping in has been restorative physically, but it has been the distance from work that has renewed me in ways I didn’t anticipate. I have time to think, meditate, and process life. Lori and I can spend (relatively) stress-free afternoons together.

The mental, emotional, and spiritual renewal from this break is exactly what I needed. Although the coronavirus crisis ruined my plans (and of course it is much bigger than me and what I wanted to do), I’m glad the time turned out the way it has.


Finally, on this Sunday, I’m praying for those on the front lines of the Covid-19 response and those personally impacted by the illness. May God be merciful and bring healing to this devastation.


Thursday, April 23, 2020

Coronavirus and Psoriasis (Howard)

UPDATE: I mentioned on Monday that I messaged my dermatologist, Dr. Carroll, about taking Skyrizi before Tuesday. In her reply she surmised why my psoriasis flared recently: skin damage from phototherapy burn and possibly needing Skyrizi more frequently.

Since she said I could inject the medication anytime, I decided to go ahead last night. One dose comes in two syringes, so I injected one on the left and one on the right of my belly button (at least two inches out).

I experienced the normal lightheadedness and fatigue just after the injection. Still some after effects today, but definitely nothing to horrible.


With the lockdown I’ve had more time to write for my column on Everyday Health, The Itch to Beat Psoriasis. In particular, I’ve published three articles about psoriasis and the coronavirus pandemic.

I’ll finish today’s entry with links to each of them.

How I’m Managing My Psoriasis in the Shadow of the Coronavirus (3/31/20)

man in front of window at home

Preventing Coronavirus Exposure When You Have Psoriasis and Eczema (4/6/20)

Preventing-Coronavirus-Psoriasis-and-Eczema Moisturize After Cleaning Hands

Facing My Anxieties During the Coronavirus Crisis (4/21/20)

illustration man stressed with papers virus bacteria

Wednesday, April 22, 2020

Cooking Together (Lori)

I have been longing for Howard and I to cook together for many years. His work as a minister is very demanding—both early morning and evening meetings in a given week that would require him to be away from home.

When would come home from work, I would want him to either take some personal time or just spend time with the children. I would figure out the dinner menu. Some days were full for me as a minister’s wife so I would skip cooking dinner completely—get some takeout from a restaurant or fast food.

It was “kid food” anyways, I reasoned, so the kids and I would all feast on fried chicken, hamburgers and fries, chicken nuggets, etc. Especially if Howard attended a small group church meeting, there were often potlucks where he could eat dinner and sample church members’ home cooking.

It was a win-win. Except I felt like something was missing. Long gone were the days when I was at my grandmother’s house helping her fix a homemade meal and then talk with her over washing the dishes afterwards—she would wash, I would dry. 

Fast-forward to today.

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Family, psoriasis

To an Awesome Wife on Valentine’s Day

Lori and I visited Universal Orlando City Walk during the InterVarsity National Staff Conference in early January, 2020.

A big happy Valentine’s Day to my wife of over 25 years, Lori. I’m grateful for not just the quarter century together, but more importantly all the ways we’ve grown personally and relationally since those early days of college.

I shared about how we met on my Everyday Health The Itch to Beat Psoriasis column titled, “How Psoriasis Helped Me Meet My Wife.” An excerpt from the top of the column expresses how connecting through sharing about my psoriasis and her spina bifida led us to develop an inseparable bond:

It was love at first talk. When Lori and I met in our last year at college, we connected immediately. Sure, there was a physical attraction — and we joined the same Christian group at the University of California in Davis. But the ability to talk openly about living with chronic health conditions bonded us from day one.

We still care for each other through the health ups and downs with listening ears and helping hands. I wouldn’t have wanted to share my life with anyone else.


For this our 28th Valentine’s Day together I would like to share a short letter to my best friend:

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psoriasis

Skyrizi Week 3: Three Questions Waiting to Be Answered

I can’t believe I finished my third week of taking Skyrizi (Risankizumab). In the coming week I take my second dose. This dose is a loading dose administered at week four. The dosing moves into every twelve weeks thereafter.

The biggest questions I have when I take a new medication are if it will work, when it will start working, and will I have side effects. See below for my updated impressions on these three questions.

Will Skyrizi Work to Clear My Psoriasis?

This is a crystal ball question to be determined in the coming weeks. But if you make me give an answer of what I predict I’ll tend to take the pessimistic view. When a drug claims that X out of 10 people who took it during clinical trials reached PASI 75 or 90, or even cleared, I’m skeptical I would be one of them. 

I’m usually the X out of ten that did not reach any notable level of psoriasis clearance. I know, I know. Past results do not predict future outcomes. Too many variables must play out before making any conclusions. My body changes over time. New medications have different mechanisms of action in my body than others. But I’ve faced disappointment after weeks and months of waiting on a new drug enough times to not get my hopes up.


Follow My Skyrizi Journey!

Starting Skyrizi for Psoriasis Week 0


Skyrizi’s website makes the following claims:

  1. In clinical trials, 3 out of 4 people achieved 90% clearer skin at four months, after just two doses
  2. Of those, nearly 9 out of 10 sustained 90% clearer skin through one year
  3. Also, 8 out of 10 people achieved clear or almost clear skin at four months, after just two doses.

Number 1 and 3 sound like the same results told in two different ways. Number 2 says that those who did respond sustained it after a year. Okay, awesome numbers to be sure. I just hope I’m not the 1 out of 4 or 10 who doesn’t get a great response.

When will Skyrizi Start Working?

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psoriasis

Treat Psoriasis Seriously–World Psoriasis Day 2018

 

Today, October 29th, is World Psoriasis Day. Each year I look forward to this day as I think about the 125 million people around the world who understand on some level what it means to live with psoriasis. Nobody needs to feel alone with this disease.

This special day each year is sponsored by the International Federation of Psoriasis Associations (IFPA). I volunteer as a Psocial Ambassador (blogger) for a member association, the National Psoriasis Foundation (NPF). The theme this year is PsoSerious: Treat Psoriasis Seriously. The NPF encourages those living with psoriasis to pledge https://www.psoriasis.org/world-psoriasis-day/pledge to take one action toward treating your psoriasis more seriously.

My World Psoriasis Day Action: Get a Flu Shot

A couple days ago I got a flu shot in honor of World Psoriasis Day. Three years ago, during Easter weekend, I truly had influenza. I experience high fever, extreme fatigue, and achy muscles among other symptoms. The doctors ruled out sepsis/infection with a blood test and at the same time tested for viruses. Sure enough, I had H3N2 Influenza A late in the flu season.

I sadly missed out on speaking at Good Friday Service and Easter Sunday Worship at church. I hated putting that extra work on my colleagues, but I could not even get out of bed. In twenty years of ministering in churches that Easter is the only one I have missed. On a different Easter weekend I even spoke on two hours of sleep as I kept watch over my sick daughter. Not much keeps me away from church on Sunday.

The worst part of getting Influenza A, though, was not work related. My psoriasis and eczema flares with fever, especially from bacterial and viral infections. It’s a huge trigger for me and I try to avoid getting sick at all costs because of it. That means getting a flu shot is important and necessary to manage my skin during the winter and spring seasons.

A worthy action for me in honor of World Psoriasis Day.


My psoriasis and eczema flares with fever, especially from bacterial and viral infections. It’s a huge trigger for me and I try to avoid getting sick at all costs because of it.


Take Psoriasis Seriously

This year’s World Psoriasis Day resonates with me for another reason as well: psoriasis is serious business. I shared a frustrating part of my psoriasis story at the Experience Innovation Network’s CXO Roundtable in San Francisco last Tuesday. I sat at Table 7 as the patient partner in a design workshop meant for healthcare executives. The workshop led the participants through the steps of designing healthcare around the patient from the beginning of the process. The challenge I presented before my table involved my multiple insurance denials for combination therapy.

As I voiced the story of using multiple treatments to treat recalcitrant psoriasis since childhood I could see the deep concern and compassion on the participants’ faces. They felt frustrated along with me as I told about an inflexible insurance provider that would not cover two expensive medications that I needed to properly treat my psoriasis.

I know I am a few weeks away from becoming covered from head to toe with psoriatic lesions if treatment fails me completely. I can’t stomach the thought of returning to the misery and pain of red, painful, hot, and itchy lesions all over my body. When my skin is flaring that much I can’t hide it all under clothes as I would want to. Unwelcome stares and questions invariably follow me wherever I go.

I’ve also learned how psoriasis causes inflammation throughout my body, not just on my skin. I hate hearing about those studies that show that those with psoriasis are at a higher risk for cardiovascular disease, metabolic syndrome, diabetes, and other autoimmune conditions as comorbidities. With severe psoriasis and lots of inflammation over the years I just might die younger than I otherwise would have.


I’ve also learned how psoriasis causes inflammation throughout my body, not just on my skin.


Indeed, it goes without saying that I must take seriously adopting changes and treatments that minimize those impacts psoriasis might have on my quality and longevity of life.

But Not Too Seriously

At the same time, I’m learning to not take psoriasis too seriously. It’s easy for me to lock my mind and emotions with my condition. I am obviously more than my psoriasis, and life is more than clearing my skin inflammation. I don’t need to take myself or my psoriasis too seriously.

My wife Lori recently reminded me the important role laughter has in healing. I fell in love with her infectious laughter, and her ability to laugh together at some otherwise painful circumstances and challenging situations. We had a silly moment in Wal Mart where we wore plush masks out late on a shopping date (should’ve purchased these for Halloween!)

IMG_0710IMG_0708

Life gets too serious sometimes, so I need to continue to find ways to bring some levity and perspective even in the midst of insurance denials, flaring skin, and frustrating treatments.


Check out the Treaments Tried page for my personal experience taking Otezla and Tremfya!


Personal Family Update: Taking Care of Mom

Finally, I want to give a family update that has impacted my life, including my blogging and social media advocacy. My mom learned she has advanced stage lymphoma a couple months ago. I’ve been flying to Southern California every three weeks to accompany her to oncology appointments and chemotherapy infusions. As I write this I am on my way to Orange County to take mom to the infusion center in Irvine, CA the next two days.

I love my parents dearly and am glad I can be an hour away to help them when needed. Unfortunately, I’ve needed to take a break from writing as work at church, family, and personal health took precedence. Praying mom responds well to treatment and can experience remission after these courses of treatment.

 

 

 

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