Fri-14-05-2021, 15:40 PM
(Fri-14-05-2021, 13:56 PM)Fred Wrote:I think I will suffer through the 8 weeks and go back to her without even trying this steroidal cream. Or perhaps she will read a letter where I express myself in a more direct manner in hopes that she sees my determination and changes her mind about the course we should take in terms of treatments? I mean, I am willing to try methyltrexate, in spite of my reservations about my response in terms of side effects, to the medication. But I am going to refuse to use this topical I think. I am the patient, after all, and I have rights! I should have the right to choose which medication I take. After all, it is my body we are talking about. I mean, I have psoriasis in my ears, and I mean RIGHT IN MY EAR! And you can't use a topical there. It itches there, and all I can do is haul out dry flakes and get some relief for a few minutes after that. I spend my days trying, and I do mean trying not to itch so others don't have to deal with the mess that I leave behind. The psoriasis is on my eyelids. I rub my eyes to relieve the itch until they are sore. So I go home looking like I have been eating CBD products because of the redness in my eyes. So you see, I do have a reason for wanting to jump straight to oral treatments. I am frustrated, because I have been dealing with it for so damn long and want some real relief. Like Forrest Gump says, "That's all I am going to say about that."(Fri-14-05-2021, 13:48 PM)Wintrman Wrote: I do respect your opinion. However, fixing the skin, doesn't fix what's going on inside my body. How does a topical fix that? How does it lower the white blood cell count so that my immune system isn't attacking my skin and internal organs.? Am I missing something here? I have no faith in topicals. I just got finished with dovobet, a steroid, which is only a short term use topical. Wouldn't this steroid be the same thing?? If it's a short term measure, then why start it at all?
Sincerely,
Wintrman
I 100% agree with you Wintrman but unfortunately a dermatologist has to follow protocol. We have seen it so often where people would rather go for something like a bio, but that rarely happens until you have failed on one or two oral treatments.
You could refuse the topical's, but I don't think many dermatologists would start a new patient on an Oral treatment. You could try asking for light treatment and explain that you refuse to use a topical, it's worth a try.
Failing that you are going to be left with self treatment with something like DMF or Natural. *If you wish to go that way these may help:
Natural Treatments For Psoriasis
Dimethylfumarates and Psoriasis
Sincerely,
Wintrman