first, let me welcome you to our family of the sky.....you will meet many compassionate and knowledgeable people here, and we will be your friends from around the world.
i am glad your dr. is taking such a proactive approach to testing you. Yes, fatigue, joint pain, nose bleeds, cold fingers, even endometriosis are all symptoms that mingle among us. So, sounds like your dr. is really checking out all possibilities.
You say you get tired by middle of work day.....do you work under fluorscent lighting, or are you in the sun a lot? This is a little check that you can do yourself: If the answer was yes to either situation, try really protecting yourself from these UV rays. Wear clothing that covers the body, wear hats, and put on sun block (not sunscreen). UV rays are a definite trigger for lupus flares....especially fatigue.
Also, start a list of symptoms. Try to think back in your past, because lupus symptoms are intermittent, they come and go, and they change locations all of the time. read some of the different threads here, educate yourself on different symptoms that people deal with, and think back to see if you have ever experienced any similar symptoms. Write it all down, make a copy, and take with you to dr.....this will really help with the diagnosis process.
The nose bleed could be caused by sores or a dry nose, and this is a symptom of Sjorgen's Disease, which often runs concurrent with lupus.
Hopefully the fatigue will subside somewhat if you protect yourself from the UV rays. The fatigue is possibly the most difficult symptom that we deal with, because it leads to depression, which leads to stress, which leads to pain, which leads back to fatigue (and the cycle goes on). We each have to find our own ways to get off of this ride whenever possible and enjoy a life for a while until the next time that the roller coaster starts again.
The great thing, is that it is possible to go into remission, some of our members have been in remission for many years. Also, there are some treatment options that give some relief. I found the options themselves very frightening, but this is where this group really shines. We help each other address the pros and cons of different options, and we stand by each other as we face our fears.
again, welcome to our group, make yourself at home, jump in on some threads, ask questions, and in the end, we all learn from each other.