What a complete and total joke and waste of time. My appointment was Friday afternoon at 2:00pm about 45min away from my office. The doctor has 2 offices but I wouldn't be able to get into the closer office until August, so I decided to take this earlier appointment and just use my precious, remaining time off so I wouldn't worry about having to get back to work. First of all, they didn't even take me back until nearly 3:00. They decided to take x-rays of my neck since I complained of pain there. They asked what meds I was taking and I told them "Mobic and Ultram, and Vicoden when it gets bad". I also told them the Ultram was losing it effectiveness and that the Vicodin allowed me to function. The doctor came in and asked a few questions and then started the tender point exam. He explained the I have Degenerative Disc Disease in addition to Fibromyalgia and then laid my on my stomach and bent my legs at the knee until my heel touched my bottom. One side could touch farther than the other, so his conclusion is I'm 'misaligned". I was SO unimpressed with this test. First of all, I weigh 200 lbs with hefty thighs and had a lot of pain trying to do what he did. For all I know, I could have been lying crooked. I'll bet you big money that when I get this weight off, the results will be dramatically different. He suggested physical therapy and told me that I should not take any narcotics, including my Ultram and should avoid any type of pain mgmt injections. He attempted to give me Lyrica which I refused. I told him I was having lapband surgery in 2 weeks and I will not take anything that might possible cause anymore weight gain. He then said "the most important thing to remember is to maintain an upbeat attitude and not let it get you down". I looked him square in the eye and said "I am a very upbeat person, doctor, but you have to understand that I am still working and Ultram and Vicodin allow me to function". He didn't care, he sent me off with a prescription for Physical Therarpy (which I did years ago and was a waste of time) and 20 Ambien and said "we'll see you back in a month: and I thought `that's what YOU think'. He didn't even give me enough Ambien for a month! It was so obvious he didn't have a clue about treating FM and wasn't taking me seriously. He didn't even care about the degenerative disc disease in my back which was causing so much pain in my right side and leg. I was livid when I left. I wasted an entire afternoon to get the same crap I have gotten from other doctors. I don't even understand why my PCP sent me there. She told me "he can prescribe things we don't have access too"? Huh, I'm sure she can write a script for Lyrica and Ambien and tell me to "put on a happy face". I'm going to tell her how very dissatisfied I was with him. I suppose that means that as the Ultram loses effectiveness, I'm just stuck with suffering. I HATE the attitude towards pain in this country. Thanks for letting me vent. I had such high hopes for this appointment.