I have an apt this Friday with a private rheumy, after waiting nearly to years on the NHS. Now the time has come I have no idea what I am going to say. I have so many different symptoms, such a long and complex history. Do I mention M.E or not? (never officially diagnosed anyway) Do I mention testing which shows chronic bacterial infections and visit to Brussels clinic? (this is where the positive ANA test came from, although only low titre - do I mention this? I made a symptom list, history overview etc to take to KDM in Belgium, should I do something similar? The problem is I have so many problems, the last consultant I saw (endocrinology) didn't want to hear about all the things that were going on, he just wanted to know about my one main symptom - which of course I couldn't explain as I don't have one main symptom. I feel like the small things (skin changes, ulcers) are as important as the big things (fatigue, movement disorder - could be myoclonus). But where to stop. also some symptoms where very dominant for a couple of years and then took a back seat - now other symptoms appear more pronounced, but im sure they will eventually fade away as well to be replaced by something else. Any ideas or advice?