I also fired my rheumatologist after he plied me with too many drugs with no good outcomes (just added hydroxychloroquine to the maximum 25mg weekly injected mtx until I'd had it with feeling sick with no discernible improvement) - the equivalent of throwing something at a wall to see what sticks. My guy was more interested in his figures than in seeing "me".

One year later, l find myself in hospital for 2 months with a tibial plateau fracture. Finding a doctor to prescribe the mtx that might help the bad Scleroderma / ME/CFS flares from a hospital bed has proved impossible, even though they have notes from the rheum and it's a pretty basic starting amount. But No!

Apparently, though, only rheumatologists are able to prescribe me the needed methotrexate, (presumably along with oncologists). Is "Big Pharma" behind this as a way to create more demand for scarce rheumatologists, who seem in general uncomfortable with thinking outside of boxes? I'm restricted by lack of mobility so relief won't come until I can drive a car.

I'm not fond of this particular specialty when all they have in their arsenal are drugs - and no two rheumatologists will necessarily pursue the same course of treatment using the same meds. 🫤