Care factor zero. I drove a long way to see Dr Ly and left his office in tears as was told, "it could be lupis, sometimes it takes months or years to get more symptoms and you need to just wait for more symptoms." This is after 18 months of fatigue and barely able to function. I saw another Rhumatologist who told me, "it is good you pursued this further as I have no doubt this would have developed into lupis had you let this go given your family history." I am now on medication and have been given my life back, but thanks to another specialist.