Priya Natarajan

24 · Female · Ulcerative colitis since Jul 2026

Just diagnosed, starting treatment · Dr. Samuel Moreno

Checked in 29 of last 30 daysUsing Aidy since Aug 2, 2026

Next visit

Fri, Oct 30 · 10:40 AM

Telehealth with Dr. Samuel Moreno · tomorrow

Needs a look

Check off as you review

SCCAI 4 → 7Needs attention
SCCAI averaged 7.1 this week (moderate), up from 3.8 a month ago.
Blood 7 of 7 daysNeeds attention
Blood in stool on 7 of the 7 days logged this week.
7 BMs/dayNeeds attention
Median of 7 bowel movements a day this week.
Rinvoq: appeal pending 6 daysReview
Appeal filed Oct 23, 6 days without a decision from Anthem Blue Cross PPO. Anthem Blue Cross PPO denied Rinvoq on Oct 18 (step therapy: plan wants an anti-TNF tried first).
Prednisone 61 days, waiting on RinvoqReview
On Prednisone for 61 days (now 10 mg) while Rinvoq isn't started.
Calprotectin 690 · CRP 7.5 +2Review
Fecal calprotectin 690 µg/g on Sep 29; CRP 7.5 mg/L on Sep 29; Hemoglobin 11.8 g/dL on Sep 29; Ferritin 22 ng/mL on Sep 29.

Since last visit · Sep 29

SCCAI 3.8 → 7.1, mild to moderate.
Stools 4.8 → 6.6 a day, 46% loose.
Blood in stool 7 of the last 7 days logged.
Up at night to go 2 of the last 7 nights.
Checked in 29 of 30 days.

Getting on Rinvoq

Preview

Day 23

since prescribed Oct 6 · Anthem Blue Cross PPO · Accredo Specialty Pharmacy

PrescribedOct 6 · day 0
Upadacitinib 45 mg daily × 8 wk
Benefits checkOct 8 · day 2
Specialty tier, prior auth required
Prior auth submittedOct 10 · day 4
DeniedOct 18 · day 12
Step therapy: plan wants an anti-TNF tried first
Appeal filedsince Oct 23 · day 17
Letter of medical necessity sent, awaiting decision
Approved
Copay support
Rinvoq Complete
First dose

From the patient

Oct 28“Called Anthem. They said the appeal can take up to 30 days. Still bleeding most days.”

Oct 23“Clinic sent the appeal today.”

Oct 18“Got a letter saying Rinvoq was denied. They want me to try Humira first?”

Averages: 31 days to approval and 45 to first infusion in a published adult IBD clinic study.

Disease course

7-day average Daily score Formed Loose (Bristol 6–7) Blood Woke at night Daily med logged Steroid Missed Lab Visit Note

Disease activity

Modified SCCAI

7.1

Moderate7-day average · ↑3.3 vs a month ago

Days in each band · last 90 days

Mild 29Moderate 52

What's driving the score · this week

Daytime stools1.4/3
Night stools0.3/2
Urgency1.4/3
Blood2/3
General wellbeing2/4

Marked themselves as flaring on 12 of the last 14 days.

Bowel movements

Daily check-in

6.6/day

7-day average
was 5.9/day Aug 1 – Sep 14

Loose (Bristol 6–7): 46%
Blood in stool: 7 of 7 days
Woke at night to go: 2 of 7 nights
Urgency: 5.3 /10

Usual stool type · last 90 days

1234567

HardTypicalLoose

Therapy & adherence

Mesalamine (Lialda)97%
4.8 g · once daily · since Aug 14
PrednisoneSteroid100%
Now 10 mg · taper from 40 mg, −5 mg/week · since Aug 30

Labs

Entered by patient

Test	Latest	Trend	Normal	Date
Fecal calprotectin	690 µg/g↑ High		≤ 50	Sep 294 wk ago
CRP	7.5 mg/L↑ High		≤ 5	Sep 294 wk ago
Hemoglobin	11.8 g/dL↓ Low		12–16	Sep 294 wk ago
Ferritin	22 ng/mL↓ Low	First result	≥ 30	Sep 294 wk ago

Symptoms

0–10 · weekly avg

Wellbeing (10 = very well)4.3↓2.2
Abdominal pain3.1↑1.5
Urgency5.3↑1.6
Fatigue5.7↑1.0
Anxiety4.4↑1.1

In their words

Notes

Wants to talk about

“What happens if the appeal is denied? Should I stay on prednisone until Rinvoq is approved?”

Oct 27 2 days ago“Bleeding is back to most days. Prednisone is down to 10 mg.”
Oct 2 4 wk ago“First week I've felt human in a while.”
Aug 30 2 mo ago“Started prednisone today.”

Food patterns

Meal ↔ symptom analysis

Likely triggers

Salad greens5 meals

Watch

Coffee9 meals

Tolerates well

Oatmeal18 meals

Flagged only after 4+ logged exposures.

Scores are Aidy's modified SCCAI (no exam items), computed from each daily check-in. Labs and weights are as the patient entered them. Appointments would come from your schedule.