Dear John I have the same medical problems and more than Sadie 168 and have an appointment at Mayo Jacksonville this Tuesday the the 12th of March. My appointment is with the vascular department. (have psoriatic and rheumatoid arthrtis with a third autoimmune disease plus psoriasis, hypothyhroidism, diabetes 2, copd, heart beats to fast, gloucoma, dry eyes. gerd, h-pylori, sqamous skin cancer, high blood pressure anemia kidney problems and very low white blood and iron and vascular swelling problems. I did not know what department to make the appointment for. My cardiologist made a referral to Mayo so I am starting there. Which I think is right because the opthamologist and the blood doctors think the lack of oxygen in the blood is severly affecting my eyesight and the vascular problems with the blood are creating much of the other problems. Quite confusing. Gulp! When I will be at the Mayo will they only address the vascular problem or will the take into consideration all of the many others and continue on from there or will they only address the vascular problems? I am bringing with me all the pertaining records just in case. Thank you for your reply Peach