I had a consult with new rheumatologist. He agrees to skip arterial biopsies and based on recent placement of stent for 96% Left Descending Artery blockage; headaches and eye pain and long history of undiagnosed PMR that I should be at 60 mg of prednisone and then after 2 weeks will taper back to 40 based on symptoms. He had a full x-ray series of my neck and back done and multiple blood tests as well.
I asked about monitoring temporal arteries by ultrasound. I would have to travel 250-400 miles roundtrip or more to find a technician with adequate experience. He ordered cat scan of my cardiac arteries. I cannot do mri as it might dislodge the new metal drug coated stent. His concern is my heart and stroke as well as my vision.
This amazing doctor spent 90 minutes with me.
Reviewed the prednisone issues and wants to rule out any other auto immune issues.