Thanks. My main goal is to be seen by a neuro for my involuntary movements and rhema for lupus. After 6 meds and 5 botox injections have failed to control my orofacial movements, I'm looking at other possibilities of what's causing them, not just lupus. Perhaps I could wait for my next botox (2 months away) and see how it goes. If no still no improvement, I'll ask my PCP.