Posted 10/9/2018 12:16 PM (GMT -6)
Yes, if years on MTX has not helped, I am certain your new rheumy will be trying something different!
However, be careful in suggesting things to the Drs. I've found it best to ask, "Should we be trying something different?" gently and only suggest specifics if absolutely necessary. Going in and demanding to try something specific is very off putting to the Drs, and a good Dr will be developing an idea of how they want to attack your issues - you don't want to interrupt the logical, methodical approach they will be using.
Prior to Lupus, I had a software engineering business (not a lone consultant), was a marathon runner, and was finishing my dissertation for my PhD in computer engineering. For years they claimed my exhaustion was from living my life, they were wrong! Ha! (My Raynaud's has always been minor, and I live in Atlanta, where it is very warm!)
There are also meds beyond the Imuran/Cellcept/MTX level. These include Benylsta and IVIG - the 'next level' in my mind, and I am not as familiar with them.