Cool, you beat me to the punch. The site I found was a direct link to a pdf. I would never post that type of link.
I don't think rheumatology is slow here in the USA. It's all about the Benjamins. Insurance companies require three traditional DMARDs for at least three months before trying a biologic. There really isn't any thing to try that will work besides steriods. Some doctors get rather upset because some of there severe patients do not have access to good health insurance and have limited access to biologics. I have been yelled at several times about complaining about Stelara and my PsA. If it's not working for my PsA I have every right to seek different treatment.
I don't think rheumatology is slow here in the USA. It's all about the Benjamins. Insurance companies require three traditional DMARDs for at least three months before trying a biologic. There really isn't any thing to try that will work besides steriods. Some doctors get rather upset because some of there severe patients do not have access to good health insurance and have limited access to biologics. I have been yelled at several times about complaining about Stelara and my PsA. If it's not working for my PsA I have every right to seek different treatment.