Nov 23
PRIMARY AUTO IMMUNE DISORDERS



Diseases of the joints and muscles:
• Psoriatic arthritis
• Rheumatoid arthritis (RA)
• Sjögren’s syndrome
• Systemic lupus erythematosus
(Lupus, SLE)

Diseases of the digestive tract:
• Crohn’s disease
• Celiac disease
• Ulcerative colitis

Diseases of the skin:
• Dermatomyositis
• Psoriasis

Diseases of the nervous system:
• Chronic inflammatory demyelinating polyneuropathy (CIDP)
• Guillain-Barre syndrome
• Multiple sclerosis (MS)
Other diseases:
• Myasthenia gravis
• Autoimmune vasculitis

Problems with blood Other diseases:
• Myasthenia gravis
• Autoimmune vasculitis
• Pernicious anemia
• Vasculitis

How do we decide if the patient is approved?

1. The patient has an immunodeficiency disorder and (2) Family members on the same side of the family with known primary immunodeficiency disorder.
2. OR
2. The patient has the below listed conditions of immunodeficiency symptoms and (2) Family members on the same side with known primary immunodeficiency disorder.

• Frequent and recurrent pneumonia, bronchitis
• Inflammation and infection of internal organs
• Blood disorders, such as low platelet counts or chronic/long standing Anemia
• Digestive problems, such as cramping, loss of appetite, nausea, and diarrhea
• Delayed growth and development
• Autoimmune disorders, such as lupus, rheumatoid arthritis, or type 1 diabetes
● Multiple, unusual, or severe allergies

Guidelines for Immunodeficiency Genetic Testing

1. Introduce yourself, verify the patients date of birth and full name.

2. Explain to the patient the reason for the call. They have an interest in finding out if there are genetic causes for Immunodeficiency disorders.
3. Start by asking a general question of “Has anyone in your family including yourself ever had any immunodeficiency disorders like blood disorders-anemia, lupus, rheumatoid arthritis, frequent digestive problems, delayed growth and development?”
4. They may start answering and say no and you can reiterate by saying something like “So no one in your family has any immunodeficiency disorders such as sickle cell anemia, bone marrow failure or complications, rheumatoid or psoriasis arthritis, Di George’s syndrome, recurrent pneumonia, or infections? Your brothers, sisters, mom, dad, grandparents, aunts, uncles, or children.” 5. Also please confirm the patient information in the chart, for example: PSHx, FHx, Medications, Allergies, Vitals, Soc Hx, ROS.


Criteria
84 years old and under
Personal history plus 2 family history
Med B
84 years old and under (Patients could be under 65 years old as long as they have active MED B)
Bad State: NY

Pays $70 per Telemed Approved
NET 4 (Monday to Friday approval paid next Thursday)
Paypal/Wise/Wire

Reach out to me on Skype:live:6eba1f8c1869fbb8

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