My rheumatologist will only help with prescribing Mycophenolate and taking blood & urine every 6 months. I'm deathly allergic to Plaquenil or Hydroxycloroquine so all I have is the Cell-Cept and occasional steroids. As far as the Lupus fatigue, sleep problems, skin problems from the discoid lupus, brain fog or anything else caused by the lupus has to be handled by other doctors. This presents a hassle. Is it the same with other rheumatologist out there?