### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello, I have recently been diagnosed with MCTD and have been seeing a Rheum 2x so far. I have had blood labs and X-rays taken. I have nit been given my Blood labs/reports which is a concern for me. Verbally I have been told I have a lot of inflammation in my blood. My Internist ordered Ultrasounds on every and all veins/arteries, organs and all show no signs of plaque. My blood pressure is normal HDL is high LDL is bait high (202). I had a gastric bypass 2003 and have increased my weight in past 4 years when symptoms (I guess of the MCTD) began to occur (again) I am 52 yrs. Menopausal, had thyroidectomy in 2010.....Who would be my best bet for a primary care Phys. and I do not have Arthritis...but am in chronic pain - I feel it to be nerve pain although at this point - I just need some kind of answers and I am not really getting anything from the MD. s I am currently seeing. I understand that MCTD is complex and the other issues I have make it much more complex but I really need some kind of help and relief. I do feel better this year (pain wise) than last year but I have really changed my life style and socialization because I can not anticipate my condition.

### output:

Hit present, it's best to trust and leave it to your rheumatologist to decide guidelines for this disorder as he has lab reports and other test reports and be allowed to complete the work up. You may write again after his conclusions and once you get your results of testators is indeed a disorder to be carefully planned and treated... Some doctors' advice cortisone group of Chat Doctor. .but all other systems of body have to be screened first for definitive treatment to begunThanking you Best wishes