Why my nails are always painted.

I was trying to describe to my sister what nail beds look like when they have psoriasis.  My thumb picture is a generally healthy nail bed with the pink (nail bed) and white (nail growth) is fairly smooth and straight across the nail. The pinky picture is my worst psoriatic nail. You can see the bed has detached more than halfway down the nail and the line between nail bed and nail growth is  very jagged and uneven.

Sometimes I think I'm losing my mind.

I'm sitting here watching movies, knowing it's going to be an insomnia night.  We had some snow here in North Texas yesterday so I'm quite happy to be snuggled up in the blankets my sister made me last Christmas watching old movies on cable.

Something I noticed the last few days is that I keep feeling like my elbow is wet.  I'm constantly checking to see if I've got a gushing crack in my elephant elbows.  So far it just looks like I've been exfoliating with a cheese grater.  I think I'm probably developing some nerve damage in the dermis from the deep cracking I've been having.  I will be really glad when I can actually get in to see a Dermatologist.  I've run through all my options for Psoriatic Arthritis as far as DMARDS and Biologicals go.  I'm now left with the slim possibility of getting Stelera through the Dermatologist.  It is having success in Phase III medical trials for Psoriatic Arthritis so hopefully it will actually help both my skin and my arthritis.  I'm off to the VA next week to get that whole process started so wish me luck!

I really could use some retail therapy, but I just can't afford it and window shopping is downright depressing. I will however go try my luck this week at playing in a World Series of Poker tourney.  A friend of mine won a WSOP ring and a boat load of money yesterday so now I'm inspired to take my chance on one of the smaller tourneys.  Again I need your luck!

Well I'm off to watch more hokey 90's movies and wait for sleep to decide to visit me.  Have a great week!

As soon as I finished writing this blog I realized I actually was bleeding from a psoriasis crack.  Just not from my elbow.  UGH!

Greetings from Phoenix!

My oldest daughter and I are home for the holidays!  I'm really tired after the drive, but my joints feel SO much better (as always) from the desert climate.

I went to see Dr. Lavery last week and have officially decided to go on disability.  My skin was TERRIBLE when I went in.  This is what my hand looked like, and my feet, knees, and elbows were equally bad.

You can even see how sausagey my hands have gotten.  My swelling has improved since starting Arava, but I didn't really realize how much constant swelling I had because I see it every day.  He prescribed me Betamethasone dipropionate, a steroid topical cream, and referred me to a dermatologist.  We are pretty much at the end of options though for treatment.  I am going to see if the Derm can get me started on Stelara (approved for Psoriasis, in clinical trials for Psoriatic Arthritis), but I can't get an appointment till I get back from Phoenix.  It is also questionable if the insurance will approve it because I have Psoriatic Arthritis.  ANYWAY, I've been using the steroid since Thursday and my skin is much better.  I'll take a pic to insert later so you can see the improvement after 5 days.  The cracking has stopped, and I do still have some scaling, but it isn't coming off in sheets of skin anymore.  My daughter also got me some Dream Cream from Lush to try.  I put some on one hand today and it has improved even more and is very soothing.  I'll probably quit the steroid tomorrow and just use the Dream Cream the rest of my trip unless it flares again.

I'll try to remember to come say hi occasionally over the next 3 weeks, but you'll have to forgive me if vacation outweighs blogging.

Hope everyone has a wonderful Christmas!

I've felt like a slug for the last 2 weeks.

I'm sorry for not posting the last few weeks.  I went to Baton Rouge to visit my oldest daughter for Thanksgiving.  It was a wonderful visit and I was actually feeling pretty good besides fatigue.  Then came my Simponi shot.  I waited till I came home from my trip to take it so I wouldn't have to deal with side effects while on the road.  I'm so glad I did.  I had a lot of dizziness and nausea almost immediately.  Within 2 days my skin and joints started to flare.  My joints seem to have leveled out, but my skin has been in constant flare every since.  It has gotten to the point that I need to wear long sleeves and long pants to bed because my skin will crack while I am sleeping and bleed.  I went to get blood work done last week for my appointment this Thursday and the nurse said my skin was probably the worst she's seen on anyone in a long time.  On top of that my fatigue has been even worse than my new norm.  So in conclusion my last 2 weeks have been generally crappy.

I have decided I will no longer be taking Simponi.  I believe that the combo of Arava and Butrans is helping my skin and inflammation significantly.  I will accept the need to take 2-4 naps a day if it means that my pain levels and arthritis flares are what I consider bearable.  I don't believe I am employable still.  I have so many issues with fatigue that I couldn't make it through a work day.  I also still do have mobility and dexterity issues that make doing even clerical tasks painful and impossible most days.

So there you have the last 2 weeks and my excuse for not keeping up with my blog.  I will try to do better.  My oldest daughter is coming home Friday and we will be leaving for Phoenix to spend the holidays with my family. I can't wait to get there.  I miss my family every day and I feel SO much better when I am there physically.

My hand in Psoriasis flare.  You can also see the sausagey swelling in this picture.