Robert,
I think Sangye's advice to find a Wegener's specialist is good advice. I was diagnosed in Jan. I live west of Fort Worth sixty miles, and I had no trouble finding a rheumy to treat me, but they don't see enough WG to know everything they need to know to help you in my experience. Just enough to be dangerous. I finally wised up and went to the Cleveland Clinic where they see WG every day all day. What a great place! Within one hour they properly diagnosed me and reversed the wrong vasculitis diagnosis of the FW rheumy. She was close, but no cigar. I took Methotrexate from Jan to May, but had a toxic reaction. Now I am on Rituximab and doing better. The CTX is a stronger drug with more side effects I'm told. You won't believe how the Prednisone will affect you. It makes you feel better at first, but eventually drags you down. Unfortunately it is a necessary evil in obtaining remission it seems. I sleep 3 hrs a night (since my first WG symptoms in Aug) on average and I've gained 40 lbs. (see my album) Can't exercise it off yet because I am too short of breath from the Pred. and/or the WG. Can't tell which.
It is only a 2 hr flight to Cleveland, and if you have AAdvantage mileage, it is a cheap trip. They took my insurance and you won't find a nicer place than the C.C. They have an appointment desk that handles everything. I'd rather fly there than drive the 2 hours to Dallas to see someone who doesn't know WG like the C.C. My local internist coordinates with my Cleveland Clinic doc now that I've been properly diagnosed to handle day to day symptoms and meds. My CC doc gave me her iPhone number and email address, so we can communicate if we have to.
Best wishes to you on your treatment. I hope you prosper.
J. Mike Milliorn, Santo Texas
Diagnosed Jan. 2011
at the Cleveland Clinic