Although there's a family history of arthritis, I'm the first (known) person in my family to have psoriasis and now PsA. My two older kids (twins) both have clear skin, but my youngest, who'll turn 31 next month, has psoriasis - and his is FAR worse than mine's ever been. All over his chest, his face, scalp, patches on his arms and legs.
I developed (is that the right word?) psoriasis between the two pregnancies and I've wondered if carrying him with active plaques has anything to do with why he has it and the twins don't. But that's here nor there.
He's been working a contract job for the past four years, ignoring his health, and during that time his psoriasis has gotten worse. He doesn't like the creams making his chest hair, scalp or beard oily, and he's now without insurance so we're looking for a dermatologist who will see him (rural area). Hopefully getting him on meds now will help prevent future deterioration.
My question is for guidance in how I talk with him about preparing NOW for the possibility of PsA later, without him thinking this is a foregone conclusion. (I specifically do NOT read the potential side effects on medication unless I start experiencing something because I know my overly creative brain will start thinking I have ALL of the side effects. And he's a lot like me.) Nor do I want him using it as an excuse for not living his life.
I do understand that "only" 4 in 10 with psoriasis will develop PsA on average, but if I had known at his age that this was a possibility, I might have done things differently and taken better care of myself. That said, he's a 31 year old man and therefore immortal.
I've suggested that he start working out in ways that protect his joints rather than just constantly pushing himself to the limits of his endurance. I've suggested he stop eating processed foods, wear shoes with better support. Etc. But I think he sometimes hears me in the same way Charlie Brown heard his teacher. Wah wah wah ...
I don't want him to spend the next couple decades worrying about something that might not even happen, but I AM his mom and worrying is part of my genetic make-up. Thoughts?