My first visit to a rheumy was last April - the same appointment where I was diagnosed.
Going through your journal/diary and see if there are any patterns you can establish would be a good idea.
Be prepared to answer alot of questions as well. In my evaluation, the doctor definitely wanted to lead the appointment.
He had alot of ground to cover in a limited amount of time. Things like pain - describe the pain, where, when for how long, is it sharp or dull? Tingling and Numbness: they are two separate things for a rheumy so being prepared to talk about one or either or both, depending upon your situation, would be helpful.
A rheumy that is up on things will be interested in what your Vitamin D level is, and should at least offer some info on aquatherapy. If he/she doesn't bring up either, I would ask them about it. If you have had problems with sleeping, and you haven't already done a sleep study, then I would ask him about that, too. Alot of fibro-mites have a sleep disorder, if not sleep apnea.
I had copies of all my labs, x-ray and MRI results, NS post surgery summary to my GP, etc. I keep everything in chronological order and use large tabbies (small sticky notes work) and I write the date and what it was on each one. That way I have a quick easy reference at my fingertips. I offered it to my rheumy and he was impressed and had a copy made for my file with him.
(In addition to a 45 minute verbal eval, he did the tender point test. I had all of them. Between the two he very clearly and firmly told me I had fibromyalgia.
I see him again this Friday. I checked in with my GP yesterday to see if they have forwarded copies of my doc's notes and all my tests since I saw the rheumy last. I have not heard back, and I'll give them until noon tomorrow, then I'll call and tell them I'm coming in to pick it up to take with me.
I hope you have a productive appointment!
I know I didn't give you a bunch of questions.
*Severe Spinal Stenosis, ACDF Surgery Levels C5-7, Jan 07, Degenerative Disk Disease, Osteoarthritis, Dx'd Atypical Migraines & Neuropathy Jul 07, Dx'd Fibromyalgia April 08,
GERD, Insomnia, Undiagnosed Inflammation with Elevated Sed Rate, C-reactive Protein
Mom to 2 College students +1 Exchange Student in Germany, stepMom to 2 marrieds, 8 stepGrands and my third job is being a pastor's wife.