~ Girl, I feel ya. When my rheumatologist wasn't looking at the whole picture, I sought out other help. It's possible to have RA without a rheumatoid factor. I'm going through a more definitive work-up. This arthritis Dr. has done extensive blood tests, ultrasound of my joints, and a very detailed patient history. I see him again in about a week. There IS help, but it's a shame that people have to search for the right doctors that suit their needs. Good luck, and God bless. 🙏