Brian Lehrschall was thirteen when psoriasis arrived, and it moved fast — from a single scalypatch on his arm to more than ninety percent of his body in six months. Psoriatic arthritisfollowed soon after. What he did next set the pattern for the next thirty years. He asked hisdoctor at Duke to explain exactly what was happening in his body and why, and Brian hasn’tstopped asking the hard questions ever since. In this episode, Brian talks with Holly about self-advocacy, from the exam room to capitol hill, where Brian has campaigned for Step Therapyreform and other legal protections for his community. Plus, Holly tells the story of how psoriasisstopped being filed under "cosmetic" — a fight the psoriasis community has waged, one denialletter, one Capitol Hill meeting, and one state law at a time.