where-are-my-pants

Follow your own advice, just don't be a bitch.

You don't have to understand the movie to enjoy it. It's not going to make sense. That's OK.

Thanks for recognizing this, and for living it too. As an RN who works in hospice, I see patients who have seen 15 specialists and had multiple medication changes before they are given a terminal DX. At this point they don't even know who their primary MD is, let alone what all these meds are for. If these people had a relationship cultivated with 1 md, life would be very different.

Thanks for taking the time to work with your patients and educated them. Don't forget to encourage them to set up DPOA paperwork and establish their final wishes! Doctors are often afraid to talk to their patients about their inevitable death, and oftentimes it ends up leaving patients and families surprised/stranded by the time things change.

I have a question.

Have you considered asking your PCP or Dermatologist to escalate the denial of your medications? Sometimes (in America of course, lol) after an insurance company denies a medication that's already been denied via a prior authorization, your doctor can escalate the denial. It may require your doctor to have a peer to peer conversation with the insurance companies' medical consultant.

If you've already tried every other biologic agent for psoriasis,and taltz is the only one with some relief, it may help to escalate the issue and force their hand.