I called the rheumatologist that the pharmacist recommended to me. I felt lucky that he was accepting new patients. I was able to secure an appointment the same week. The doctor spent a whole hour taking my patient history and background information. I brought up the positive Lyme disease test. I asked him if he thought that I might have contracted Lyme disease. He read through my previous doctors' notes. He did a thorough examination of my swollen limbs, neck, and feet. He looked up some information on Lyme disease on his laptop. He then stated that he wanted to use a syringe to withdraw synovial fluid from my knees to send to a lab to test for Lyme disease. He anesthetized my knees and withdrew some of the fluid.
At the conclusion of my exam, he said that most likely, I did have rheumatoid arthritis. He gave me a prescription to double the dose of methotrexate that I was taking previously. I drove straight to the pharmacy. He wanted a follow up appointment in four weeks.