Question
my dr did a blood test to see if ihad arthritis and what kind plus xrays. he called and said i was neg. on all arthrisi, but my ana count was three times higher than they should be so he is refering me to an arthrisi dr what does this mean ? do i have a chance of lupus? i have fibromalgia and i hurt and my hands hurt bad that is why dr ran the test

Answer
Your doctor didn't send you to a rheumatologist because of positive ANAs - he sent you because of suspicious symptoms backed up by positive ANAs.  5% of "normal" people have positive ANAs, but usually at a low level.  Higher levels _may_ indicate an autoimmune process, depending on your age.

The rheumatologist will be looking at your hands and other joints and will want to hear about your symptoms - when they started, how bad they are, do they vary depending on time of day or what you're doing, etc.  She may also want some more blood tests.

There are many possibilities, but most important now is to concentrate on writing things down to help the rheumatologist.  Keep a symptom diary - what the symptom is, when it occurs, how badly it affects you, etc.  In fibromyalgia, there are so many kinds of pain - the "all the time" kinds and the kinds that hurt you after exercising or overdoing it.  Clarify those for the doc.  Don't overlook anything.  Even heartburn can be significant.

And while you're writing down symptoms, write down the questions you'll have for her.  I don't know how many times I've had a question for the doc in my head before an appointment, and completely forgot it until I was in my car and headed home.  Write it down when you think about it, and take it with you.