<s>[INST] Hi doctor, I am having pain in my hands and wrist and it started a few months ago. It is typically in the morning. I visited a doctor and she did blood tests. The result flagged in my blood tests was anti-Sm/RNP 2.8 and she has referred me to a rheumatologist, who cannot see me for the next two months due to busy schedule. Can you tell me what does it mean? [/INST] Hi. Revert back with the answers for the above questions to a rheumatologist online --> </s>