Referral to rheumatology came through... for two weeks from now!!

[Caroline]

anybody here see a rheumatologist for their psoriasis? Any advice on how I should approach my 1st appointment?

I been sent twice to rheumatology for psoriatic arthritis. But they don't have a clue and will only prescribe anti inflammatory or methotrexate. Your health system may be different to mine  but I don't see how a rheumatologist is going to help as they no nothing about psoriasis and have never trained in it. Hopefully I'm wrong and they do indeed know about psoriasis, but here they are useless.

I'm with Bill, I would tell them how important it is for you to be able to keep your job. Also fill in a copy of Dermatology Life Quality Index (DLQI) and take it with you.

Good luck.

Same for me here.
I have been to a rheumatologist long time ago. His, a Belgian rheum, diagnose was correct. Later on his colleague prescribed MTX (methotrexate), pure garbage, what I found out in a few months.
I stopped, went to another doctor, and got DMF.
Nowadays over here in the Netherlands, rheumatologists still prescribe MTX, while in the guidelines and pharmacological compass of the dermatologists, DMF is now the first in line. Unfortunately a good acquaintance of mine, who suffers from PsA, went from the derm who prescribed DMF to the rheum and yes... their standard reflex is MTX. So she is now on MTX and I am very worried.  
The say that everyone has to go their own way, but well you can learn from experience, unfortunately they don’t listen to me, but to the doctor. Normally that makes sense but not always... you can read that on this forum.
You have Psoriasis, go to a dermatologist.

This is my view. You can nuance it a little and of course go to the rheumatologist. The answer will be MTX. It certainly may work for you, but because of your other problems I would try it shortly to control your situation and perhaps have a next appointment to a derm and get something different.