I got diagnosed in 2019 for psoriasis arthritis along with R. A . I have two dermatologists . I had started out with methotrexate. I had blood taken. I used Otesla. I couldn't afford it . They denied me . I got a new dermatologist now I've been on skirizi for a year. They said the application would be easy since I was a patient. I'm in the waiting process now . No one really explained to me about autoimmune conditions . It is about bacteria. I've never have been in remission. It is my hands and feet that are the worst. It is constant pain . I take Tramidol, and allergy medicine along with vitamin D . I just hope I get approved for skirizi. I can't afford a flare up . I feel for everyone with this condition.