Think of it this way, you are being sent somewhere where they deal with lupus and atypical lupus at that. It is a really good thing. The doctor may be concerned about what all that prednisone is doing to your bones because Lynnwood is right that kind of dose is usually reserved for serious organ involvement. I have CNS involvement and I was only moved to 40mg yesterday because my symptoms have increased and CNS lupus is very dangerous. Fatigue is always part of lupus as far as I know. I have a negative ANA so your ANA may mean something or it may not, with your other symptoms though I think it likely means something is going on. I think the doctor felt his professional toes had been stomped on really hard plus there may be a thing with private versus public like Lynnwood said. Just be glad he didn't write you off completely and instead is sending you somewhere they can help you better than he can.
Dx:fibromyalgia 2002, systematic lupus 2005- definate CNS involvement dxed late 2005, psoriasis 2006, rheumatoid arthritis 2006, PTSD 2007, multiple allergies 2005, migraine, compression fractures T11 & T12, Sjögren's, damaged periphrial nerves 2007, exema
Tx: plaquenil, Enbrel, Tramadol, Singulair, Skelaxin, Baby Asprin, Imuran, Prilosec, lasix, Evoxac, Celebrex, Darvocet when things get too bad, prednisone again, various vitamin/mineral supplements, cozar
"Those who dream by night in the dusty recesses of their minds wake in the day to find that it was vanity: but the dreamers of the day are dangerous men, for they may act their dreams with open eyes, to make it possible." T. E. Lawrence