Thank you for the suggestions. I asked for direction, and you guys provided one

I live in Pittsburgh, although have traveled to Cleveland Clinic in order to see an endocrinologist, so that's an option.
(PS I don't take anything for the APS, which is why the ER checked me immediately for blood clot when I was having chest pain. I'm *supposed* to take daily aspirin, but since I take so many meds already, I balk at taking more even though I get routine lectures on this. Last week scared me, so I probably should start doing it)