I have positive ANA and CK of 277, red flat rash on nose and cheeks, mouth and nose ulcers , fatigue, protein in urine, have muscular pain, swelling and warmth, weight gain, swollen legs, and the rheumatologist doesn't want to admit that I have lupus. I was diagnosed with fibromyalgia 15 years ago, but everything is much worse, and new symptoms keep showing up. Should I get a second opinion?