Hello. I am new to the site. I have been sick for couple year and kept getting worse. My symptoms was leg pain, confusion, memory problems, avasular nerchrosis, swollen liver, lose of fingernails, thrombosis plus ran fever for about 6 months. A rheumatologist fiquired out it was Hughes in June. I am on 7.5 warafin, 200 plaquenil 2x daily, 30 mg Cymbalta for nerve pain. Plaquenil seemed to break my fever, and starting warafin I got better. I could hardly get out of bed and was really not all there before the warafin. It seems the higher my INR the better I feel. I am able to work some now with the warafin. I still don't feel normal, my liver and spleen swell, still some memory and thinking issues and seem to have a lot of gas in my stomach like someone pumped air in there. I'm 43 male with 3 small kids so I need to try to get better than I am. Any recommendations would be greatly appreciate. Should I be seeing a different type of doctor, anything that has helped someone with my symptoms.