Hi Laura. I'm sorry your rheumy is leaving and yes 4 hours is a looooong drive. I don't know anyone in your area. Perhaps lupus.org can help. I recently switched rheumys after 6 years and I love my new rheumy. He's the most intelligent doc I've met since my lupus diagnosis in 2005, plus he gives me hugs when I'm down
I hope that when you find a new rheumy he/she is a good as mine. Love, Donna