Well, after all the advice from the folks on here, and my own research, I requested an apponitment at National Jewish Hospital in Denver. The Mayo Clinic in Rochester, which is where she wanted to send me, doesn't even mention the word Sjogren's on it's website. I sent all the information to my Rheumatologist thinking there was time for her to review before I got an appointment. They called today with an appointment in early January. I called my Rheumy office and they said she will talk to me at my next appt, that is not until late December! I do not want her to get a call for my records before I even tell her that I requested this appointment. She is the best doctor I have found, and has helped me more than anyone else has. Any ideas out there? I do not want to look like I went behind her back.