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Hi All, I recently changed jobs due to the arthritis and trying to

avoid disability. Now I'm finding my Enbrel taken away once more.

The insurance company made their denial after the Rheumy stated " no

history of plaque psoriasis " . This is the second rheumy I've seen.

Appently rheumy's don't document well if it involves skin lesions,

they only worry about the joints. I've been trying to get my records

from the first rheumy to see what he has documented so that I can

appeal. I've even contacted the podiatrist who thought I had

psoriatic arthritis before the diagnosis to see if he has anything

documented. I'm back to square one, left to see how bad my p and pa

can get before the rheumy will do anything. He wants me to make an

appointment to see how I am in 3 months without Enbrel even though he

has told me in the past how much I need it and that most people have

a lot of problems once they stop taking it. I've made a derm

appointment for this week provided the hurricane doesn't stop me from

keeping it. I currently have 2 lesions that I've had longer than 6

months that just will not heal. The family doctor doesn't really

know how to treat p and the rheumy sees it and thinks I should use

something for yeast alternating with a hydrocortizone type cream and

just says see your derm which I haven't been able to do until this

week when I will see a derm who has never laid eyes on me. The

original derm in a different office is NEVER available for an

appointment within a reasonable time frame. His secretary always

puts you off a minimum of 1-2 months like he is so booked you can't

be worked in even in an emergency. They might as well go ahead and

start getting my paperwork ready to file for disability because that

is what will happen eventually. My psoriasis and arthritis disabled

me in the past and I'm sure it will not take long again once off

Enbrel because MTX doesn't work well for me alone and other drugs

have been tried and failed. Cassie

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