Well I went to my new rheumy today and so far so good. He wanted to run new labs and told me that the lab I had my prior tests ran in is notably inconsistent and he felt we should use a different laboratory. He is retesting for Wegner's which I previously had a really high positive titer and then a normal one. It's not the first time a doctors mentioned vasculitits to me. He picked up on the Livedo reticularis right away and noticed that my hands and feet were bluish purple, which my previous rheumy just dismissed and then acted like I was crazy. He is also retesting for Lupus and some other forms of autoimmune disease including some kind of anti-phospholipid thing, ESR, CRP(?), RA and ferritin. He told me his initial impression was definitely some form of autoimmune, in particular, Sjogren's, Lupus, or mixed connective tissue disease. He said its important to consider the whole clinical picture and not just work off my labs like my last rheumy did because a lot of the time people with rheumatilogical diseases can have inconclusive labs. If my labs come back strange this time like they have in the past then he is just going to start me on that same medicine that Veej mentioned and then see what happens. He took a very thorough history and seemed to listen to my concerns, in fact he didn't want to see the labs I brought him until after I had personally explained my problems and concerns from my viewpoint, then he examined me, then he read over my labs. I never decide whether or not I like my doctor in the first visit but I must say that he seemed to have more experience then my last rheumy and I left the visit feeling hopeful. Thank you all for listening.