I looked forward to my first dermatology appointment at 1:30 p.m. I drove into town around 12:30 to give myself plenty of time. Then it dawned on me. My dermatology appointment was at 11:30 a.m., not 1:30 p.m. Thankfully, the clinic staff showed kindness and allowed me to still see the new dermatologist and get the treatment I sought.
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.
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 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.
I started my Tremfya (guselkumab) journey on Monday, August 21, 2017. On December 11, after three injections (week 0, 4, 12), I reached that interim endpoint of 16 weeks. Here I evaluate my experience so far with Tremfya, including efficacy, side effects, and how I'm feeling overall. The "verdicts" in this post reflect a moment in time, and certainly are not final.