Hi all. I have a baffling range of symptoms over the past three years. Lots of tiredness, joint pain, arthritis, infections and a climbing positive ANA. I saw a rheumie a year ago who just said had lot of osteoarthritis and do physio and painkillers. Things have got worse and I am going to a different rheumie. He works in a big hospital with several clinics and he has given me an appointment for his lupus clinic. Lupus is his specialty.The first doc barely glanced at my hands and feet. What should this visit involve?.