Hello. Painsomnia here. I've been denied several times, whether to Clinical Genomics, or to General Internal Medicine, with zero explanation, or appeal rights. I've had the worst few years, struggling on my own, to make it to work or appointments, due to the combination of severe hypermobility and chronic widespread instability, (possibly more than one type of EDS), Scoliosis, systemic Lupus, Sjogren's, ME, Hashimoto's, and thensome. My thyroid stopped responding to the meds several years ago, no one in the cities can make sense of it. It affects Everything, worsens Sjogren's, in turn creates major sinus, dental and GI issues, and it can even worsen muscle weakness, which in turn increases the instability and subluxations, it's all So interrelated. All other providers refer to Mayo for genetics, for EDS, since their own providers will not evaluate adults anymore. Or for mast cell. But I'm getting denied every which way now, for any of my plethora of complex conditions, even with an extensive family history of rare disorders. It worsens the ptsd, and makes one wonder, is this also a women's rights issue?