Hi @ekg, welcome to Mayo Clinic Connect. How disheartening and frustrating to not get an appointment at Mayo Clinic. It sounds like you have taken the appropriate steps to seek care at Mayo Clinic. When the experts review your records and medical history, they also closely consider the care that you are currently receiving. If they do not feel Mayo can offer care that is different from what you’re already receiving, they do not want you to incur unnecessarily expense and travel.

That being said, it sounds like your physician believes Mayo Clinic may have more to offer. Thus a physician appeal is a good idea. When making appointments for suspected autoimmune diseases, your doctor should contact the division specific to the organ involved or area where there is most concentration of discomfort. For example, appointment requests to General Internal Medicine may be denied because of lack of appointment availability and volume of demand. You might consider trying another department or campus. Sometimes a request may be denied in Minnesota, but accepted in Florida or Arizona.

Do you know to which department your neurologist made the referral? Which location did you apply to?

As many members suggest, Don’t Give Up. See these discussions for further tips:
- If this case isn't acceped, what is!? https://connect.mayoclinic.org/discussion/if-this-case-isnt-acceped-what-is/
- Info and tips about going to Mayo Clinic without an appt https://connect.mayoclinic.org/discussion/info-and-tips-about-going-to-mayo-in-rochester-without-an-appt/
- So many questions. Seeing Rheumatology and GI at Mayo JAX https://connect.mayoclinic.org/discussion/so-many-questions/
- Your Tips on How to Get Off to the Best Start with a New Specialist https://connect.mayoclinic.org/discussion/your-tips-on-how-to-get-off-to-the-best-start-with-a-new-specialist/