I am a 60 year old Rheumatoid patient who has suffered with this since my 30's. I am so pleased with the care from Dr. Gary Kammer I have been his patient for many years and between Dr. Kammer and Dr. Pazarandah , I am still mobile. I hope that you realize that being a Rheumatologist can't be a easy job when there is no cure and the process of helping someone is very slow and these doctors do no surgeries so their income surely suffers. All the immune disorders are so complex that we need specialists in this field and you will not be dissapointed in your care if you have the patients to stick out the treatments and do what they recommend. It sometimes takes a long long time but hang in there. Do give them a try.