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Her 16-year-old daughter waited so long to see a rheumatologist she “aged out” of child services, she says.

This process likely leads to the squishy swelling that many rheumatologists and surgeons have mistaken for inflammation.

It alleges that Todd — a former rheumatologist at Brigham and Women’s Hospital whose specialty involves treating inflammatory conditions of the muscles, joints and bones — began abusing patients in 2010.

Until now, she says, rheumatologists used a "guess and check" method to find a treatment that works for an individual patient.

Enrollment in patient assistance programs can depend on the resources a clinic or hospital has to help patients sign up, said Dr. Zachary Wallace, a rheumatologist with Mass General Hospital in Boston.