I am starting to think it may be time to collect all of my records and make an appointment with a Rheummy at the New York Presbyterian Hospital. I was thinking maybe even contacting the Mayo clinic but I would rather do something more local first before traveling so far. Today I feel like my esophagus is inflammed but Im just hoping its unrelated to all of this. Also I should have been more clear about the therapy concern is due possible employment reasons however maybe it would be just fine and I am over worrying about that aspect of it.
Thank you all for your responses.