Hi . This is a great question and, unfortunately, I don't feel like I have a great answer in that it really depends on your relationship with and, to be honest, what you think about the level of knowledge of these doctors. For example: my wife, Kelly Mack (a contributor here), has a rheumatologist she has known and trusted for years. In contrast, she has had a number of GPs leave in the last few years and now has what basically is rotating residents that the hospital system is providing. This has created a situation where she doesn't really have faith in the GPs to understand her RA. If a situation or issue is directly RA related her rheumatologist is definitely her first point of contact, but she has the luxury of a rheumatologist who is incredibly responsive to her messages. Can you reach your rheumatologist via phone or email? Will they do a telehealth appointment to see if they can assess current needs in a more timely manner? Also, is there a chance that, if you see the GP and they have a rheumatology question, that your rheumatologist would be responsive to questions from them? Sometimes, some medical care is better than none and, unfortunately, given the difficulty of seeing a rheumatologist, that may be seeing the GP - only you can determine if the current situation warrants going that route. Wishing you the best and please feel free to keep us posted on how you are doing. Richard (RheumatoidArthritis.net Team)