Yesterday I say Dr. William Pachas, a rheumie at Mass General. My sleep specialist there referred me, saying "he's a great resource." I'd seen him six wks ago when he was fairly matter of fact and sent me for many labs. His door says "Fibromyalgia Specialty" so I knew he believed the whole shebang when I walked in. First he went over my labs with me. My vitamin D is still low and he increased it. He gave me a very scientific explanation of it's possible importance. Then he showed me the very low human growth hormone test but said it's not his specialty, it can fluctuate throughout the day, and made a referral to an endocrinologist. Next he told me I had a positive test that ONLY lupus patients get. This was not shocking to me because doctor's have been looking for lupus for over thirty yrs in me. I've had CFS for sixteen. He said somehow my body was not showing the typical lupus signs because of some immune mechanism. He wanted me to try Plaquenil and ten mg of prednisone to see if I felt any better. I told him I'd been on Plaquenil for Sjogren's and it upset my stomach. I tried to get him down to five mg of prednisone but he said it wouldn't do anything. The lupus thing has come up SO many times in my life that I simply paid no attention until this a.m. I put a call into the rheumie who I saw last yr. to discuss it with him. Dr. Pachas did not say I don't have CFS; he said lupus could be making it worse. He spent an hour and a half with me and went way back to my Crohn's dx in '65. I felt like he knew me as a real person. He is aware of how limited my activities are. He discussed XMRV. I'm doing nothing now because I went to a wedding this wk and got a dreadful cold.