Hmmm, your first visit with this doc. I'll write the questions I'd ask him and you see if they 'fitL'
1) make a list of those questions that you just put down and print it so you'll have something to go by. I'd print it in bold and a large type font; nothing worse than wanting to ask a question and not being able to see what it is, so it DOESN'T get asked
2) start NOW making that list, and whenever you think of "gee, I'd like to know....." WRITE IT DOWN.
3)Pain medications. That's a good one and depends on the cause of the pain. If you can avoid it (and ONLY) if you can avoid it, steer clear of narcotic analgesics, but the doc may think that's what is indicated. Antidepressants are good for some pain and anti-seizure medications (depakene, tegretol, neuron tin) are good fot other kinds of pain. I've been helped by kenalog injections. (a steroid which I normally wouldn't be taking, but my rheumatologist told me why-and I promptly forgot!-why that was preferable to a steroid dose pan. plaque nil is another med to ask him if you ought to be one
4)nausea: I'll have to leave that one to someone else. I've not experienced nausea
5)history-keep it brief, but he MUST know this history of your disease.
6) take a friend with you (especially first visits when you've a lot of questions) to remember what the doc said in response to your questions-or your friend can write them down.
7) when you say you're 'going downhill', be very clear in your explanation of WHAT isn't working right and what is going downhill. Things like 'my muscles are so weak that I can't dress myself, or they're so week that it takes my 'x' minutes to dress. Or , this is the assistive equipment that I use: walker, cane, etc. Best, Annie BTW, This will be your first visit with this doc, he can either be a partner in your care in which you'll do better, or he can call the 'shots' and you'll be the 'patient.' I'm a nurse and see that when patients form PARTNERSHIPS with their docs, their docs are more respectful of input from them and they 'do' better.