Hello @smalone59, Welcome to Connect. I can't imagine how difficult it has to be for you dealing with the different health struggles 30 plus years. I know it has to be discouraging. I'm hoping that connecting with others may help provide some answers for you. There are a couple of discussions that I think you might find helpful.

--- Limited Scleroderma or CREST Syndrome: What helps?
https://connect.mayoclinic.org/discussion/crest-syndrome/
--- FMD (fibromuscular dysplasia): https://connect.mayoclinic.org/discussion/fmd/

You mentioned having an upcoming appointment with a vascular surgeon. One thing that has helped many including myself is take a list of questions you have with you to appointments. There are some good tools to help you plan your conversation on the Patient Revolution website here - https://www.patientrevolution.org/tools.

When do you see the vascular surgeon?