Anybody seen that Mack truck?! Wow today is a terrible day with exhaustion barely able to walk very long! I am 65 diagnosed in 2005 and have primary doctor new asking me why I think I have Sjogrens! Wow so my Kelsey Siebold rheumatologist according to this pcp can't diagnose!! I also have esophogitis, 3mn and 4 mm nodules on left lower lobe of lung. Fatigue started this year! What to do ?have tremors in head also.