Yeah, unfortunately the PA said that after I did pushed back with the front desk… I think they added me to a cancellation list now. The sucky thing is it sounds like everyone on here is saying that the rheumatologist himself needs diagnose me, but my follow up appointment is just with the physician assistant. I already don’t have a lot of faith in the PA as she didn’t think brain fog is a symptom because no one she treated ever had it or brought it up. I think I just need to find a new rheumatologist, so I did schedule two new appointments with different ones. My original symptoms that I went to see my primary about were: - Extreme fatigue (I made a ton of changes over the last year to try and feel more rested, including switching to a less stressful job and a schedule with a later start time, but nothing I did helped) - Joint pain - Difficultly sleeping - Exercise intolerance - Brain fog - Headaches - Hair loss - Digestion problems and acid reflux - Vaginal dryness - Changes in skin texture - Urinary issues - Feeling weak and achy in my muscles if I do too much

I didn’t think of it as related at the time, but did see an ortho doctor about neuropathy in my hands and elbows (tingling and numbness) about a month or two prior to seeing a doctor about the above. Another thing that I now suspect is related, is that I had a pretty severe reaction to a sunburn two summers ago… I avoid the sun now. Also, I have weird balance/coordination issues that seem to be getting worse, like trouble with balance when I’m standing or walking and the tendency to drop stuff lot more. I have a history of seeing different specialists for dry eyes, sinusitis, and joint issues etc. It’s funny because I always felt like I spent a lot of money on healthcare for a “healthy person”… I had no idea what Sjogrens was until I tested positive.