11 years. My new rheumatologist, who took over for my old one, who was great. He moved and they hired her & she tries to tell me she thinks it could be fibromyalgia or pain from Tarlov cysts but I just laugh because the only meds that have helped are DMARDS, bio's & Jak's. I'd switch Dr's but we only have a few in my area so I'm stuck with her at least for now. Not all doctors are worth the air they breathe!