Just catching up on this thread. I'm glad to hear you have a new plan, Lisa Marie. I'm still hoping for you to get rtx, but ctx is not the end of the world if it works for you. (I think I hated it when people told me that, so it's okay if you want to throw a sock at your screen when you read it.

)
My first local rheumy had the worst nurse. She wouldn't pass on messages and it nearly killed me a few times. I tried to appeal to her sense of compassion but that was highly unsuccessful. With the help of my therapist, I learned to direct the compassion towards myself and the nurse eased up a bit. It was never good or right, though. I was thrilled to fire both her and the rheumy when I started going to Mayo Arizona.