Thanks for the support Pete. I am waiting to hear back from Doc. I am experiencing pain in my chest and back that is nearly intolerable. I have always had a very high threshold for pain but this is beyond anything I have experienced before. X-ray showed nothing and I know that is so often the case with vasculitis. I can't tolerate NSAIDs and Tylenol is not doing much. At the same time my breathing has really deteriorated. I hope he will agree with me that Avacopan is not helping. Thanks again.

Kathy