u/Feisty-Chance-7149

Hello,

I am an American nurse going through the process of getting my nursing license in BC. I am in contact with recruiters with health agencies in BC for getting a job and if offered will most likely start by going through the CUSMA work permit and would like to evidentially get PR through PNP express entry pathway. I do have an autoimmune disease that is usually considered a high cost and could potentially cause medical inadmissibility. According to my extended family in BC, the costs of my medication should be covered through employer extended health benefits. So I have a few questions:

1. Would my medical condition automatically keep me from entering through CUSMA? I know that the upfront medical exam is required before entering through CUSMA. My medication is once every six months so I would have time before needing to get the next dose.
2. If the medication is covered by the extended health benefits through my employer, would this be sufficient for a mitigation plan for PR?

Thanks!

I had an appointment with a new MS neurologist today since I have had less than favorable interactions with my first MS neurologist. I really liked the new doctor and the clinic. The new neurologist did say that he prefers the higher dose, longer acting DMTs (like Ocrevus and Briumvi) because they have been shown to have better effect on the B-cells everywhere in the body and not just the blood. He mentioned both IV Ocrevus and Sub Q Ocrevus Zunovo as viable options. I decided to go with the Zunovo (if insurance approves it). I really appreciated this new neurologist explaining everything and made it an easy decision to go forward with changing my care over to him.

I started on Tysabri and was on it for 8 months before I became JCV+ and my first neurologist required me to do one dose of IV Ocrevus before switching to Kesimpta. Which this new neurologist said the Ocrevus bridge wasn't necessary.

I have liked Kesimpta so far, so if insurance doesn't approve the Zunovo I will gladly stay on Kesimpta. Has anyone made the switch from Kesimpta to Zunovo? Or thoughts on Zunovo in general? I'm starting to do my research now, so I admittedly don't know much about the new medication.