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Patient Perspectives: Psoriasis Treatment

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

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Transcript

00:00
They're always coming out with new stuff. It's like the iPhone, you know? There's always one that's better. [SOFT MUSIC]
00:08
I'm Dr. Doris Day. I'm a board-certified dermatologist in New York City. And I'm here with Deidra, Apolonia, and Christopher.
00:15
And we're talking about how to find the right psoriasis treatment for you. The journey to finding the right treatment
00:22
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--
00:29
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.
00:37
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.
00:44
So my experience has been mostly positive. I haven't had any really bad side effects.
00:52
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,
01:00
they had this protocol called the Goeckerman protocol where we would just cover them with this tar formula that smelled like tar.
01:07
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.
01:15
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.
01:23
And, Apolonia, I don't think you ever did the Goekerman formula for tar treatments. But what has been your experience and your journey
01:30
with different treatments for your psoriasis? So I started off with using ointments and creams.
01:38
As my psoriasis began to become severe, I went to UV therapy. But it just didn't fit with my schedule
01:45
because you have to go, like, very consistently. You can't-- like, when you skip-- And almost start over, yeah.
01:51
Yes, and almost start over. What about you, Deidra? So for me, it was a topical. And there was an oral.
01:58
I did that for the length of the prescription. And I also made sure to alter my diet
02:05
because the more I researched, I learned that it was, you know, directly related to inflammation. We know that--
02:12
you're 100% right-- it's a pro-inflammatory condition. And all of the things that we do for psoriasis, whether it's
02:19
a topical steroid or a biologic is suppressing one or many components of the immune system, right?
02:25
So UV light and the topical steroids will suppress the immune system in the skin. A biologic will suppress a pathway
02:34
that's causing psoriasis. But diet does have those antioxidant properties
02:41
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
02:47
component. So what's the one piece of advice you would have? Let's just go around. Deidra, Apolonia, and then Christopher.
02:54
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
03:01
I would give for someone that's looking for the right treatment is to, you know, have an open mind.
03:09
And just know that all treatments are not the same. Just keep at it. Don't give up. Give yourself--
03:16
Beautiful. --a chance for it to work. Apolonia. Even though someone says that that treatment didn't
03:22
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.
03:29
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.
03:36
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.
03:42
I love that. And my advice is to find a board-certified dermatologist to get a proper diagnosis, evaluation, understand what
03:51
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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