instead of focusing on the patient. My rheumy told me that autoimmune diseases can affect every organ in the body - trigger a constellation of symptoms, and yet not show up in lab tests. If you have been fortunate to find a doctor willing to pursue aggressive treatment, that is great. You are definitely right to pursue every treatment available before the damage becomes irreversible. i hope you are able to find a way to give Sammi the meds she needs without causing so much pain.