First off definately get a new rheum. I have been putting it off for so long and I'm just aggravated most of the time when I leave her office. Second I think with a positive ana and symptoms theres a chance that you have some kind of AI disease. I would also look into fibro because I have heard and read that some of the spots that it affects the most is in the neck and shoulders. I hope you find someone who listens to you better and figure out what it is you have so you can start treating it!