I alternate Grandpa’s Pine Tar soap and Neutrogena T/Gel shampoo [tar product] for one week and Psoriasil Medicated Scalp and Body Wash [OTC salicylic acid product] the next. The weather has been pleasant enough to allow three or four days a week of 20-minute sunbathing. Petroleum jelly is still my most reliable skin protectant. I have adopted a vegetarian diet for at least five days a week. I limit my dairy products to yogurt and hard cheese no more than twice a week. Of course, ice cream is a treat I deserve. I have found moderation and flexibility to be the most valuable attitudes to take in treating my psoriasis. It has developed into psoriatic arthritis, which flares with the same unpredictability as my skin. I have added lecithin, cod liver oil, vitamin E and evening primrose oil as dietary supplements. For the first time in 10 years of struggle, I feel that my situation is manageable. I have found several simple approaches to take to keep my skin lubricated and clean. I discovered loose fitting plastic gloves for working in the kitchen and non-latex gloves for other chores. I work on stress reduction using yoga, and I have finally accepted psoriasis as something that requires daily care just like teeth, diet, rest and exercise. As I take “one day at a time,” anything is possible in managing something as unpredictable as psoriatic arthritis. I share my feelings and experiences with my family and friends when I need help with the frustration or when something works well for the day.