I have one before I was DX with Lupus, I use my forearm's and like you there are days I am hurting. I also get the look's and the talk people are doing but loud enough you can hear what they are saying. For me I filled my out and took it to my doc mine is good for three years. Now I do know when I moved I can print another one and take it to my city office and get a new one without seeing a Doc. I need to look for that online.
Diagnosed with SLE Lupus May 2nd 2011. I am taken Plaquenil, Pain Killers, muscle relaxers.