I have found that anytime I have to go to GP (or primary-care Providers) that have never seen me before (I rarely can get in to see my regular Dr as she is very busy. Ironically I can get in to see my Rheum Dr at a moments notice!) Anyhow the on-call docs rarely have heard of a Mixed Connective Tissue Disease (MCTD) & always make remarks @ my med-list. This infuriates me! I'm more than understanding & always try to see their perspective however my Rheum prescribes my pain meds & do not require that I go to the pain clinic bc they trust me (I always take the lowest dose possible & am taking half the dose I took 3 yrs ago) & they realize how hard it is for me to get @ in sub-zero temps here in ND (the pain clinic is far away & requires monthly appointments). Why are other physicians & Providers so judgemental & how do you get past their accusing demeanor?