My rheumy had no answer for what to do. He’s new to me and I may have to find another.
Don't go rushing to find another rheumy. You have enough to cope with as it is without all the extra stress of changing doctors. There is no reliable way of knowing if a new doctor will be any better than this one. See if you can get some information about any new doctor before you commit to change. Find a few patients that have been with a potential new doctor for a few years and ask them what they think of him. That is not an easy thing to do so best of luck with it. Sorry I can't give you better advice but let us know how you get on.