Here rheumatologists refuse referrals for people with PMR symptoms, so we have to figure it out ourselves. Firstly, we are mostly all on Medicare, which would fill their practices with low paying patients. Secondly, the only way they can make a living now is with their own infusion centers for the new biologics. Kevzara works for PMR but it's extremely expensive and isn't covered by Medicare UNLESS it's given by the doctor. So there is some kind of new Medicare racket, I think. I don't think a family practice doc can do it but I may be wrong. It can cause rupture of the colon in people with diverticulum, as many of us over 70 do. ( A new reality for me just this year) Weakened by prednisone, our inner skin also gets fragile.