hope you're all managing with the cold weather. So went to clinic yesterday, discharged by rheumatologist because 'she can't find anything wrong'. I asked why steroids, hydroxy and methotrexate all improved my symptoms, the answer I got was 'it's just one of those things, and anyway hydroxy doesn't work on PSA (not what the BNF says!!). I asked why I was losing my hair, also one of those things apparently. I pointed out that I has enthesitis in my left knee and both achillies tendons (diagnosed by a physio), my toes are swollen and deformed on my right foot. I got shrugged shoulders and a comment about physios thinking they know things! We had the normal inflammatory markers conversation, I pointed out that when they were done I had just finished 7 days of 40mg of pred (doesn't make any difference to inflammatory markers apparently!!!!), and that enthesitis frequently doesn't result in raised markers due to them being relatively avascular structures. The only thing I achieved was not getting fibro put in my notes, leaving the appointment in floods of tears and nearly having a car crash on the way home because I was so upset. All in all not a good day out! The question is do I now give up and accept that I am the drug seeking nut case that the rheumatologist makes out, or do I find another rheumatologist because I know something is going on.