Can anyone tell me about the St. Thomas "Alternitive Criteria"? Why is it not used more, here in America? I read that Dr. Hughes is a world renound "Lupoligist", why aren't others listening to him? I've never heard the word Lupoligist used here in America either. The Rheumy offices that i have been too are filled with old people with arthritis. It seems that no one knows enough Lupus, I just don't understand.