My Rhumatalogist diagnosed Psoriatic Arthritis and Fibromyalgia five years ago. My mother had it, my Ana and protein tests were positive, it presented asymmetrical (left hard-right foot). I was prescribed Methotrexate. I also see a Dermatologist for the Psoriasis.
Unfortunately, my Rhumatalogist retired and I had to find a new Rhumatalogist. I got in to see one 88 miles from home. He gave me a lecture about how bad Methotrexate was and then sent me for xrays with the diagnosis of Fibromyalgia. His conclusion was that I never had PA. My primary doctor said that I did have PA and I might be in remission. Something that other Rhumatalogist should have considered. My primary doctor was concerned about my liver enzymes so I started weaning off the Methotrexate. Wow, I didn't know how much that medication helped with pain.
Two months later I saw another Rhumatalogist. I spent several hours putting together my family history and my own. I mailed it so it was available prior to my appointment. She came in, told me that she looked at the xrays and concurred that I didn't have PA. I asked if I could be in remission. She said I couldn't be in remission if I never had PA. When I started to show her my foot (classic PA), she said she had other patients to see and left. The total first time appointment lasted 11 minutes.
I really don't want to have Psoriatic Arthritis. I know that I am in a Fibromyalgia flare and stress makes it worse. How can the Internist who sent me to the first Rheumatalogist and my primary doctor say one thing and two new Rheumatologists say another? My first Rhumatalogist's replacement has finally started her practice. I am thinking about seeing her as his handwritten notes are in my records there. Any opinions?