I think people give doctors too much credit. Doctors get mixed up, overlook things, etc. just like people who are not doctors. Problem is, I get mixed up too. That is why I have a description of my symptoms that I keep on my computer ready to print out for doctor appointments. And I rewrite it based on what doctors keep overlooking. For example, my eyes are blood shoot all the time, but doctors don't see this. So I put that on the list. After I did that, a doctor asked me to take my glasses off so he could examine my eyes. Also, I've found the word "flu-like" backfires every time .I told a MA at the rheumy office that my symptoms are flu-like. I thought she would understand this to mean achy, trouble concentrating, throat and nose symptoms, etc. But her response was "Oh, you feel fatigue," and she wrote it down at the top. So now I find it best to just give the symptoms. I also find it best to have two copies. One I keep so I can read it off when the doctor doesn't want to look at my records.