2nd opinon, not a bad idea
I have had 3 different rhemy's since I was dx 4 years ago. I had to leave one after a few months because the office staff made me so angry I had a few choice words. The other I went to for 3 years. I always felt like even he didn't get it. I personally think that they rheumy around here are so use to dealing with elderly peoples arthritis and osteoporosis or whatever else ale's elderly people that he couldn't understand what effects this disease has on a person in their 20's. When I would tell him about my EXTREME fatigue, he would say exercise. I wanted to scream because if I had the energy to exercise I wouldn't be complaining about fatigue. I already know exercise can increase endorphins that can give you energy, but when you are sitting on your couch fighting sleep at 6-7pm you just CANNOT say I think I'll go for a jog.
The point to my whole spiel is that I am now on my third Rheumy (went to a different county) and SHE seems to "get it". She is even coming up with other ideas, a prescription that is only used for fatigue. I can't think of the name know, but when I get I'll post it. Should be soon, appt coming up.