Sorry your appointment wasn't very helpful. It does sound like you might be dealing with more than fibro though if there is all of that swelling. I hope you will be able to find relief. I think the Dr. is a bit pill happy though to add another "before bedtime" med to two others he knows you are already taking. And how can he know about your REM sleep without a sleep study? I don't know ANYTHING about rheumatologists, but that just sounded odd to me. I think I would have cried too.
I know this doesn't help, but just sounded odd to me. I am still remembering you in prayer. Hang in there! Answers can't be far away!! Hugs to you and DH!!!