I recently have seen my PCP due to recent concerns about my health symptoms. Following an ER visit in September for chest pain accompanied by weakness of extremities (diagnosis of Costochordritis) although the diagnosis did not answer the weakness of extremities. I have been suffering from severe shoulder pain (left side) along with pain stemming from the sternum through the clavicle since mid October, however the shoulder pain has been off an on for a couple years. Among the shoulder pain I have also been having some swollen lymph nodes in the arm pit (left), fatigue, night sweats, mouth soars, tongue pain (2 years off an on), and occasional stomach pain upper left quadrant. Since my doctor visit in December I now have right ankle, and big toe pain making it difficult to walk at times. The tests ordered included the following out of range results; ANA screen which came back positive, hs CRP 17.8 (very high), abs. Neutrophil high 7.7. MRI Brain was normal, MRI Shoulder showed Supraspiinatis tendonopathy with slight burial fray. I am generally feeling ill, made worse by activity. I am awaiting an appointment with a Rheumatologist at the beginning of March. The only concern my PCP seemed to have was that the ANA came back positive, however did not mention the other high results I indicated above when consulting with me. The only reason I have the results is because I requested my chart. I am considering obtaining a second opinion. I am 39 years old and do not feel that these test results should be passively looked at, as I am a very active adult in generally good health up until recently. Any feedback would be greatly appreciated.