Patient Perspectives: Psoriasis Treatment

In this video, patients describe their experience with treatments for psoriasis.

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They're always coming out with new stuff. It's like the iPhone, you know? There's always one that's better. [SOFT MUSIC]
I'm Dr. Doris Day. I'm a board-certified dermatologist in New York City. And I'm here with Deidra, Apolonia, and Christopher.
And we're talking about how to find the right psoriasis treatment for you. The journey to finding the right treatment
can sometimes be very circuitous. And it can take a while before you find the right fit for you. So I'd love to hear from each of you--
let's start with Christopher on this one-- on what you've tried for psoriasis and what your experience was with what you've used.
I'm currently on a biologic. And so I've been on this one for probably close to a year now. And it's worked really well.
So my experience has been mostly positive. I haven't had any really bad side effects.
They've always paid really close attention. And I've always had really good doctors. So it's been good. When I was a dermatology resident,
they had this protocol called the Goeckerman protocol where we would just cover them with this tar formula that smelled like tar.
And they'd just kind of bathe in, soak in that for a while. And then we'd rinse it off and try to get their skin clear. And this is, we're only talking 20 years ago.
We didn't have biologics back then. So it was a matter of trying to find all these other ways to try to control the skin condition.
And, Apolonia, I don't think you ever did the Goekerman formula for tar treatments. But what has been your experience and your journey
with different treatments for your psoriasis? So I started off with using ointments and creams.
As my psoriasis began to become severe, I went to UV therapy. But it just didn't fit with my schedule
because you have to go, like, very consistently. You can't-- like, when you skip-- And almost start over, yeah.
Yes, and almost start over. What about you, Deidra? So for me, it was a topical. And there was an oral.
I did that for the length of the prescription. And I also made sure to alter my diet
because the more I researched, I learned that it was, you know, directly related to inflammation. We know that--
you're 100% right-- it's a pro-inflammatory condition. And all of the things that we do for psoriasis, whether it's
a topical steroid or a biologic is suppressing one or many components of the immune system, right?
So UV light and the topical steroids will suppress the immune system in the skin. A biologic will suppress a pathway
that's causing psoriasis. But diet does have those antioxidant properties
that has been shown, for some people at least for some time, to help with it, as well. So I think it's a really, really, really important
component. So what's the one piece of advice you would have? Let's just go around. Deidra, Apolonia, and then Christopher.
What's the one piece of advice you'd have for someone who's looking for a treatment of how to find the right treatment for them? Yeah, so the one piece of advice
I would give for someone that's looking for the right treatment is to, you know, have an open mind.
And just know that all treatments are not the same. Just keep at it. Don't give up. Give yourself--
Beautiful. --a chance for it to work. Apolonia. Even though someone says that that treatment didn't
work for them, know that everyone's body's different and that it could be different for you. Christopher. I'm not even going to work hard at being original.
I'm just going to say I'm going to piggyback on that because those were great answers. You know, you're going to be searching for a little while. It took me a while.
And everybody's different, though. Some people get on the first one and, yeah, it works for a long time. But the most important thing is to not lose hope.
I love that. And my advice is to find a board-certified dermatologist to get a proper diagnosis, evaluation, understand what
you're dealing with with your psoriasis, and to discuss all your treatment options to find the right one for you.

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