X( I just recently found out that my PM doc (pain management) had diagnosed me with Fibromyalgia a couple of years ago but forgot to tell me until last month. He's a real prince! But I really don't know how he has come to his conclusions. If anyone has seen one of my posts on the "Chronic Pain" topic board you would already know how bad my doc is. Anyway, I'll try and start with just the Fibro part since the rest of my story would take too long. I have had several spne surgery's and 1 reconstructive surgery. This has left me disabled with severe chronic pain. It all started about 8 years ago when I was inured in a fall. Prior to that I had always been in fairly good health. I was with a great pm doc but when he moved away, I git stuck with a horrible, irresponsible pm doc that has neglected me pretty badly. He is also cruel, rude, and condescending. Since my very first visit with him I can honestly say that not once in 3 years has he ever given me just one measly exam or has done any bloodwork on me except for twice. I am not allowed to tell him any of my problems, when I try he cuts me off and smirks at me, he refuses to allow me to speak. He also has never once asked me to ever tell him anything about what I am going through or how I feel, nothing. My visits consist of walking into his office, he writes my pain med prescription, and tells me to come back next month. That's it, seriously. Four minutes tops! Last year he decided to get some bloodwork on me and had me tested for Lupus and Rhumatoid Arthritis. I came up positive for Lupus. He told me to go to my PCP and talk to her about it. I went to her and she said it's nothing to worry about. Since then< I've begun to have even more severe problems than I already did. I have looked up Lupus and I have almost every sympton except for the rash. I recently asked my Pm to have the samebloodwork run again and off I went for the blood draw. While I was having my blood drawn, I asked the guy who was doing it if there was a test for lupus there that had been orderd. He said "No" and said it was only for rhumatoid arthritis, which I had already come up negative for before. BTW, when I asked my doc to redo the blood test is when I was told that he had already diagnosed me with Fibromyalgia. I looked up fibro on webmd and some of the symptons fit but not very many, especially compared to lupus. I don't know why my doc didn't order the lupus test. Here is what I want to know. Can I be diagnosed with Fibro if I haven't even had an exam for it? I thought that they had to rule out other possible causes before they could diagnose you with this. I am so lost at this point and already have so many other problems due to my back problems, and the fact that they are getting so much worse. Should I accept his diagnoses or should I seek out another doc like maybe a rhuemoltolgist? How was everyone else here diagnosed? Did you have an exam first or any tests done? Please help because I'm at my wits end here and really don't feel like I can take much more.