A year ago I started with dry mouth, dry eyes, thyroid had ceased to function, have had 2 esophageal dilitations over 6 months, respiratory event x 2 with O2 sats dropping around 50. Just had left toal kne replacement. Cartilage deteriorated over a year. Profound fatigue. I am an R.N. and personal trainer so I am active. One Dr days I have Sjogren s. Rheumatologist says I have Sicca, not Sjogren s and want to take me off my Plaquenell (spelling0?. What would you do if this were you. I also have Lichen s simplex on both arms which rheumatologist blames everything on.