In the United States, those of us who work as healthcare providers often struggle with the realities of the “haves” vs. the “have nots.” The […]
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When Good Isn’t Good Enough | Psoriatic Arthritis (PsA)
I first met AP, a 48-year-old woman, about 8 years ago when I was new at my current rheumatology practice. From the very start of […]
The Magic of the Dead Sea on Resistant Psoriasis | Psoriasis
I first met EJ when he was 28 years old, a full 15 years after he was initially diagnosed with psoriasis and started on topical […]
No Doubt, It’s Gout (and Psoriatic Arthritis)
A few months ago, a new patient, SR, came into our office with a long and varied history of rheumatic disease. A 34-year-old Caucasian male […]
Monitoring PsA Disease Activity in the Clinical Setting | Psoriatic Arthritis (PsA)
The treat-to-target approach to care is a hot topic in medicine and is now widely accepted as a best practice in our patients diagnosed with […]
Fighting the Good Fight with Insurers | Rheumatoid Arthritis (RA)
The majority of patients we see on a day-to-day basis in our rheumatology practices require straightforward decisions and straightforward solutions. But there are always outliers. […]
Like the Kidney, Medical Authorizations Require Us to Adapt | Psoriatic Arthritis (PsA)
A very long time ago in my nursing school days, I learned that each kidney has approximately 1 million nephrons comprised of convoluted tubules. Their […]
My Experience with Specialty Pharmacies | Insurance
When I first learned that my insurance required me to use a specialty pharmacy for my biologic medication, it didn’t sound too bad. My first […]
Understanding Family Issues to Maximize Adherence
The challenges of medication adherence in children are as diverse as the populations we serve. Among other things, adherence in children can be affected by […]
Making the Whole Patient Better | Psoriatic Arthritis (PsA)
I have been caring for KN, a 57-year-old woman with psoriatic arthritis (PsA) for approximately 9 months. When she initially presented to our office, she […]