Hello, I have Hepatitis C as well as having Lupus. My liver is affected with intermittent high enzymes. I am in the beginning of a Lupus flare-up with the fatigue, severe pain in my hands, arms( firearm and bicep) , swelling and inflammation of my nodes in my neck, and scrotum where they actually painfully draw up in response. I am also having the headaches. My question is this, I am having a hard time getting medical professionals to determine for themselves that I am having a " Lupus flare-up" instead of being judgemental and just saying that " it's just my hepatitis" because they are ok dismissing me from their time if they blame the hepatitis. But I am positive that I am having increased problems with my Lupus and I am in extreme pain. And need " proper" treatment. Is there any test or lab that can be done to definitively say it's the Lupus and not hepatitis? I know the hepatitis is affected by my Lupus flare-up but I am sure that they need to be focused on the Lupus. Please help.