en bloc,
OK, thanks for the advice re. insurance matters.

Re. cardiac issues, yes I do have CAD. I had a cardiac cath. done about 2 years ago, it showed " non obstructive CAD" ( can not remember quite which coronary artery it was), but nevertheless, the interventional cardiologist that did the cath. only did the left side. So my other cardiologist, did a cardiac dopler because he was suspecting pulmonary hypertension. It showed " left ventricle systolic dysfunction". Doc says, it is not uncommon. I have 2 or 3 different valve conditions.

My cardiologist gave me Norvasc, to act as a antispasmodic effect.

I have vascular spasm, that I believe is causing my ice pick headaches.
Sometimes the large vessels in my forearms spasm so they feels like a hard rope, and it hurts against my (I believe) ulnar nerve.
All this, in addition to vasculitis and aneurysm.

Another sign/symptom I have is Levido Reticularis, also spasm.

So, thanks for the input re. cardiac issues in autoimmune conditions, being it Sjoegren's or others, ( I do not really care any more, they all seems to be inter related) I just know that I have " something"
I will try to have some team work between my rheumatologist and cardiologist
Think it is time to have some reevaluation.
I will try to get to Hopkins, if needed
Thanks