Thank you for your comment. Unfortunately, in the area where I live, doctors seem to be at a premium. PCP's are an endangered species. I kid you not!! And this is not a rural area - rather an area close to a state capitol. The Rheumatologist I wished to go to does not accept new patients without a referral from the PCP, and that seems to be the case for most specialists around here. I guess because they're just too busy. This is a problem that needs fixing!!