Last night

[FancyVest]

Its the best we have now, but a TNF regulator would be better. I didn't realize that there was a risk of Hepatitis-B reactivation with it.

 

[Mrs. Valve]

TNF-alpha receptors are widely distributed in the joints, GI trac and skin. That is why Remicade is so effective on a wide variety of disorders.

I have been making Remicade for a few years, so I knew a lot of stuff already, but infusion reactions and such were new to me. I was surprised when the woman talked a little about Orencia.

indeed. and TNF-a is one of the main cytokines produced by a M1 response from the innate immune cells and from a Th1 response from the adaptive immune system. it's a bitch when you have an autoimmune disorder like rheum. arthritis or something like IBS or even a type IV allergy response like poison ivy.

 

[Applesauce]

I have a friend was who recently diagnosed with systemic lupus. :/
she's doing terribly.

She's also been diagnosed with rhem. arthritis. She's just waiting for something else to come along.

 

[FancyVest]

We have a patient with several psoriasis plaques all over her body, she is starting Infliximab tomorrow. Its amazing to see these people start their treatments walking like they are 80, then 6 months later, they come bouncing in

 

[Applesauce]

meh, tell her to go tanning once in a while.

 

[FancyVest]

LOL.

 

[Applesauce]

Seriously!! It works. Fuck medications for the rest of your life.

 

[APRIL]

I stopped going to tanning beds because of the chance of skin cancer.


I'm high risk.

 

[Applesauce]

I stopped going to tanning beds because of the chance of skin cancer.


I'm high risk.

Well sure, there is a risk. But, if you have psoriasis, sometimes medications don't work. Then you see another doc, and he says, "fuck it, go tanning if you have a flare up."

Then you go tanning.

 

[APRIL]

Makes sense.

 

[FancyVest]

My Papa (grandfather) had psoriasis, he controlled it with a sun lamp.

Unfortunately, this woman has too much of it for a tanning bed to work.

 

[Applesauce]

ohhh, she has that bad of a case?

Groce.

 

[FancyVest]

Yeah. She has some patches larger than my hand.

 

[Applesauce]

EWWWWWWWWWWWWWW

 

[FancyVest]

Yeah. 26 years old, hasn't gone outside for 5 years without being covered head to toe.

One the other hand, Tomorrow the rep said she would be by to bring us lunch again. She is pretty too

 

[APRIL]

Too bad you won't get laid.

 

[FancyVest]

Yeah, but at least I get fed. Plus, I get to stare at her and no matter how uncomfortable she gets, she can't leave. Win-Win

 

[Applesauce]

lol!

 

[Duke]

Man, if there were a vegas betting line on predicting future serial killers, I'd be so in for making a mint right now.

 

[FancyVest]

Future as in I haven't made my first kill, or future as in I will be arrested?