I finally got my appt. I had to drive so far and didn't sleep good, but it went pretty good. I went to someone referred from the Washingtom DC metro support post, a Dr. Moriority. He was running behind, and that helped me calm down and fill out the papers. I had just been dx with dry eye this week, so I did ask about Sjogren's, as I am always pushing to get to the bottom of this whole mess and make sure its not just fibro or cfs. I heard him talking about fibro to another patient so he seems to know his stuff. He is going to run a bunch of blood work, including "random corisol". Anyone know what that is? I had mentioned adrenal fatigue. He did mention trying cymbalta again. Yuck, that's the main problem I have is med sensativities, and I have already been on that. Does seem very proactive and said we will get to bottom of this. AM staying on the tramadol. He prescribed an Nsaid but I will not be able to take that either. Glad to have made some progress!