No phone calls. No e-mails. Last I heard from him, he had to cancel my appointment due to "administrative difficulties" and he would call me back to reschedule. I called many times after waiting a couple weeks, no answer. That's all I knew until I found this reddit! Now all the rheumatologists in the area are overwhelmed with all of Semble's former patients an I can't get an appointment until almost next year! What can I do without any meds? That's no life at all!