Fri-15-11-2019, 01:40 AM
(Fri-15-11-2019, 00:48 AM)KatT Wrote: How about combining treatments?
That's a possibility. The questions I have for the rheumatologist involve determining whether or not I have psoriatic arthritis. I need some clarification on that.
The laser therapy won't help with that of course, but even if it helps with the skin, laser therapy is ongoing. Once clear, you can only expect to stay that way for a short time (possibly 6 months to a year on average but people vary so there is no set time really) and then the psoriasis will usually be back and you have to start over again. Also, the laser therapy is done twice per week, and the drive for me is a long one since we live out in the country. So I'm not certain that I want to do laser therapy long term if I can find something else that works on my skin.
But.... it is definitely something I may have to consider.
The dermatologist suggested going with a TNF inhibitor, however I have some issues that concerned me (not enough to rule them out but enough to want to check with other doctors before considering) Also with the rheumatologist suggesting I was showing early signs of psoriatic arthritis, the dermatologist didn't want to prescribe another biologic without consulting with my rheumatologist. I informed her I had an appointment in November so we agreed to go with the laser therapy in the meantime. So that's where I am currently.