Business InsightPsoriasis in Children Part 3Recently, spoke with a mom ofmy young research patient who hasbeen on a biologic psoriasis study fora tle over a year. As usuy askedabout immunization, any other medicalproblems, and I asked the patient aboutsports and school plans for the upcomingnew year. Pleased to note that wasgoing well and the patient is clear ofpsoriasis, I was about to leave the roomand ask the nurse to replace me andcomplete the biologic injection, whe themom asked me to stay because she hadsome questions about the study and themedicationWe continued talking and her questiornwas very simple: will my child be able tostay on this medicine after the study? Thestudy continue for the next 2-3 yearsbut she wanted to make sure her child young patients' life, at home and atschoo.will not ever have to go back to having How the disease or the lack of treatmentpsoriasis the way it was before the study. affect psychological side of patients whoWhile we continued talking, my nurse hve enough of psychological issuesreturn to do the shot and the family was associated with growing up. Peer pressureready to go hme, er, te mom attention to superficial look, grading andcontinued her story. A year ago, her child comparing children to each other, all ofwas sad and upset about al the gymclasses these factors create such a huge anxietyand sports. It was common to participate that, after a while, anxiety might becomein those only when full long sleeve and the primary problem to deal with.long pants uniform was allowed. There s almost impossible to practicewere problems with sleeping and thus. holstic' medicine every day: we, asgetting up in the morning due to horrible doctors, would not be able to help evenand constant itching. almost became of our patients. But with youngobsessive to keep looking and checking patients th chronic disorders, ison some of bigger psoriasis lesion like in critical to spend time and look not onlyexpectation that they might disappear. te physical health but psychologicalConversations about the disease were impact. We do in all pediatric clinicalabsent because they just caused more studies, maintaining conversations withstress. Conversations in genera were patients and parents, and making surelesser and lesser, and got limited to 08A we offer support in all aspects of medicalsessions rather than open talks. That carechanged after several weeks on the study There is no better satisfaction for amedication when it became obvioustha, doctor to see a young patient gettingwhatever it was, was working great. better with psoriasis but also becomingNow, the mom and the family do not ever a real teenager, worrying about the nextto go back to what it was a year ago.baseball practice and not lesions on thebodyI think that doctors often see youngpatients and treat their disease as a se, do wait to l with anyprimary medical issue while they may questions about pediatric skin problems.forget how the disease is affecting theMichael Bukhalo, MDArlington Dermatology5301 Keystone Court Rolling Meadows, IL 60008Tel. 847 392 5440 | www.arlingtondermatology.net

Date: August 10, 2018

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Business Insight Psoriasis in Children Part 3 Recently, spoke with a mom of my young research patient who has been on a biologic psoriasis study for a tle over a year. As usuy asked about immunization, any other medical problems, and I asked the patient about sports and school plans for the upcoming new year. Pleased to note that was going well and the patient is clear of psoriasis, I was about to leave the room and ask the nurse to replace me and complete the biologic injection, whe the mom asked me to stay because she had some questions about the study and the medication We continued talking and her questiorn was very simple: will my child be able to stay on this medicine after the study? The study continue for the next 2-3 years but she wanted to make sure her child young patients' life, at home and atschoo. will not ever have to go back to having How the disease or the lack of treatment psoriasis the way it was before the study. affect psychological side of patients who While we continued talking, my nurse hve enough of psychological issues return to do the shot and the family was associated with growing up. Peer pressure ready to go hme, er, te mom attention to superficial look, grading and continued her story. A year ago, her child comparing children to each other, all of was sad and upset about al the gymclasses these factors create such a huge anxiety and sports. It was common to participate that, after a while, anxiety might become in those only when full long sleeve and the primary problem to deal with. long pants uniform was allowed. There s almost impossible to practice were problems with sleeping and thus. holstic' medicine every day: we, as getting up in the morning due to horrible doctors, would not be able to help even and constant itching. almost became of our patients. But with young obsessive to keep looking and checking patients th chronic disorders, is on some of bigger psoriasis lesion like in critical to spend time and look not only expectation that they might disappear. te physical health but psychological Conversations about the disease were impact. We do in all pediatric clinical absent because they just caused more studies, maintaining conversations with stress. Conversations in genera were patients and parents, and making sure lesser and lesser, and got limited to 08A we offer support in all aspects of medical sessions rather than open talks. That care changed after several weeks on the study There is no better satisfaction for a medication when it became obvioustha, doctor to see a young patient getting whatever it was, was working great. better with psoriasis but also becoming Now, the mom and the family do not ever a real teenager, worrying about the next to go back to what it was a year ago. baseball practice and not lesions on the body I think that doctors often see young patients and treat their disease as a se, do wait to l with any primary medical issue while they may questions about pediatric skin problems. forget how the disease is affecting the Michael Bukhalo, MD Arlington Dermatology 5301 Keystone Court Rolling Meadows, IL 60008 Tel. 847 392 5440 | www.arlingtondermatology.net

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