I have an unusual autoimmune syndrome with many different symptoms. They often present in unusual and inconsistent ways. Healthcare providers require patience, compassion, determination, tenacity and genuine concern for my wellbeing to take the time to understand the condition and the emotional toll it takes. Ruth stood by me for 4 years and helped me through. But more important she was tenacious in her determination to help me accept I was suffering severe anxiety on top of everything else. Her care changed my life and the ability to effectively pursue overall treatment. I can't thank her enough for the care she has given me.