Episode 34, Season 2: Chuck and Chris bring back "My Toughest Case" and Chris discusses a patient with scleroderma including evaluation and treatment options including sympathectomy.As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.Survey Link:Help Chuck and Chris understand better what you like and what we can improve.  And be entered for drawing to win a mug!  https://bit.ly/349aUvz