Hope everyone is feeling well. Long story, short: been seeing a rheumatologist going on 3 years with severe muscle and joint pain. Had a positive ana (1:160 homogenous). I responded well to prednisone so he treated me for ai issues (either ra or lupus). All other tests are negative. I have pain, swelling, fatigue (I do have mild sleep apenia) hair loss and photosensitivity. Went to Penn Medicine to get a second opinion. Saw the pa. She examed me and went over my history. She said I have 14 out of the 18 pressure points in pain. She said I definitely have fibro. After 45 minutes the doctor came in. He agreed with fibro but said can’t definately rule out ai issues. Also said my positive ana and symptoms could be from my colitis which is in remission. I have to take more blood work. They said to stop the arava and increased amitriptyline to 50 mg. I go back in 4 weeks but should call if I have bad pain sooner. The pa also said that they don’t treat fibro patients. I am so lost and confused. Any input would be helpful. Thanks for reading thisong post.