They either think fibro or the lupus or the RA. It's sad because I have refused to go to the ER because they usually blame it on one of the 3 and say you just have to deal with it. With lupus I have organ damage which really sucks. But I have a team of doctors and most of the time they talk but they don't get it when I say I don't want to go to the ER. You sit there and wait for ever and they really don't do anything. Sad.