It was all by the same Dr. but with several different tests including blood, the pee in a cup deal, and some other way more uncomfortable tests. I went in as a new patient work up because we have just recently moved to the area and I needed a new doc. She did the initial exam annd did a round of bloodwork that day, she called me 3 days later and said some of it came back with some scores she was concerned about to come back in and give more "samples" so she could do some more tests and get opinions from some other doctors. so I went in and did that and Monday last week she called me back and asked me to come in again. She took *12* tubes of blood that time and said that wowuld be it on getting blood as I couldn't due to how much had already been taken on top of that days amount plus did skin samples, urine sample, "other" samples, as well as making me come back Tuesday and doing one of those stress test things where you get on a treadmill and they monitor your heart and all that. I had to wear a heart monitor for 48 hours starting when I left that day and when I went back friday she had me referral appointments for a rheumatoligist, OB-GYN, a pain meds specialist, and Pulmonary- for a sleep study. She said it was way too broad of illnesses for just her to deal with that I needed to see some specialists kind of like a team effort to help me and her be the main doctor over it all so all my records would be in one place instead of being bounced all over the place. The rheumatoligist is going to help me with the Lupus and the Sjogren's as they effect the the bones for me mainly, I have had arthritis ever since I can remember anyway so it is no big surprise to me that these "test scores" came back as some kind of illness that attacks my own cartilage and "lubricants" of my joints. the ob-gyn appointment is for the endometriosis I have had for years but haven't done anything about it cause it hasn't hurt that bad til recently. the pulmonary appointment I do about 1 time or a little less a year because I have had sleep apnea for at least 6 years due to the fact I weighed almost 400 pounds when I had my gastric bypass in 2003. the pain meds doc is to keep my meds in check very closely and monitored very closely for obvious reasons. My doc said she felt the reason she found all of this and wants me to go to these specialists is because all the pain and symptoms have came on in the last few months. She said a lot of times people don't know they have these kinds of illnesses until they get under a lot of stress which is basically all I have had over the last year. Both my parents died, mom from suicide, then dad of a brain aneurysm then we had to take on thier little Pomeranian and her health problems then in October we moved about an hour and a half's drive south to be closer to my hubby's work. neither mom nor dad had insurance that paid out except 1 military policy on dad that paid for the funerals and that was it. the house got auctioned off on new years eve on the courthouse steps in cullman and the vehicles were repoed not even a month after daddy died. the only thing that was left was really the only stuff I wanted to begin with, the picture albums and personal stuff and some of the furniture. When we moved down here we basically had to move both our house and my parents stuff into one house and we have been going through all of it trying to sort what we are going to keep or donate to the homeless shelter or hanna home or whatever. I don't want to sell anything, I want it to go to someone who can use it to help. The Raynaud's I have had for a long time but it does make sense now that I know what it is, not much you can really do about it unless it gets bad except for wearing socks all the time and gloves if its chilly or windy so you don't get too cold. My Dr. is really trying to help, she isn't giving me any new meds, in fact she has taken me off a few and its helped plus she gave me a diet to follow of stuff to avoid and that has helped too. And no you didn't piss me off or hurt my feelings, I would have been saying the same thing if I was reading this off of some one elses post so it's okay, you're more than welcome to ask anything and if I know the answer or feel it isn't too personal I will answer you....