Advances in drug treatment have resulted in improved symptomatic prognosis and control.

Oesophageal or symptomatic cardiac involvement should prompt early referral to a gastroenterologist or cardiologist. There is increasing proof for the beneficial ramifications of immunosuppressive medication, in rapidly progressive diffuse disease particularly. This can help with preventing ulceration, breakdown and gangrene of digits. Calcium channel blockers ought to be used.. Advances in drug treatment have resulted in improved symptomatic prognosis and control.‘Consume’ by definition methods to get rid of completely; to destroy; to spend and squander – to use up wastefully. Simplicity is a counter-path: a more viable correction. In choosing simplicity, we can remember that we are spiritual beings, in a physical body, having a human experience. The journey toward a more simple and sustainable way of life starts by examining our assumptions and expectations, including the belief systems that travel us to live our lives in fast-forwards, with the pedal to the metal.