Good news for me and Canadians living with APS. Emailed Dr. John Esdaile in Vancouver (apparently has worked with Dr. Hughes) and asked him if he knew of other experts in Canada that deal with this condition. He gave me the name of a rheumatologist in Fredericton, New Brunswick. Only 2 hours drive from where I live. I will confirm with my GP that she has referred me and will follow up with you to let you know what is happening. Kind of made my day. Hope this works out. I really need to see someone who is more than just familiar with this syndrome.