Back in the beginning, four years ago, I saw my Rheumatologist on a 6 weekly schedule. He ordered blood tests for a few days before the appointment so that the information was available when I saw him. I am now on a "as needed" and once a year scheduled appointment. Am doing well and nearly there, but having to separate the effects of old age from PMR symptoms. At the moment I am concentrating on my sciatic nerve pain which didn't want to go away. It's responding to everyday answers to that problem. Keep smiling, there is an end.