Hi , sorry to hear about the difficulties you are having with finding a knowledgeable GP. Our lovely is in South Africa - hopefully she'll stop by shortly to have a chat with you. In the meantime, you might enjoy/relate to Clair's article on managing PsA in South Africa: https://psoriatic-arthritis.com/living/south-africa Hoping you can find a GP who can give you the care you deserve. Please keep us updated if you can. Warmly, -Catherine, Community Moderator