My appointment with the second Rheumatologist is tomorrow. She's in the same office as the first Rheumatologist but I didn't have any choice in that matter. My insurance is Kaiser Permanente and this is their only Rheumatology location in the entire county. The pain and stiffness has spread to my elbows now which more than anything is just annoying. It's definitely worse in the morning and after 8pm when I'm tired. I used to get about 7-8 hours of sleep at night, but lately I've needed 9-10 hours. Of course, as my luck would have it, the bumpy patch on my elbow is all gone so I can't show it to the doctor. If it was psoriasis it would make a diagnosis so much easier to come by.