I have many symp. of lupus not limited to fatigue joint pain/swelling rash hair loss doc says my blood test results are fine. do i get a 2nd op? recent test: ana screen,ifa qst-positive ana pattemn qst-nuclear, homogeneous ana titer ost- 1.40 titer?

The diagnosis of lupus requires a combination of clinical findings paired with certain lab values. There is no one lab test that unequivocally clinches the diagnosis. I think it would be worthwhile for you to consult a rheumatologist at the dept of rheumatology at a university hospital near you for evaluation and advice. If you do,bring records of tests with you.