Big Al, your concern is much appreciated. Whilst your wife's situation is different from mine, there are many familiar parallels & commonalities. Managing auto-immune conditions is a non-stop juggling act with medication (type, dosage, side effects); the patient experience (no two folk are the same & neither are their reactions); the patient/doctor relationship & the impact the condition has on the Family. Both my GP & Rheumatologist engage with me & my patient expertise is respected & taken into account. I wish you & Denise the best quality of life you can achieve.

Rap. Thank you for the clinical papers. I am familiar with No.1...Ref. 14 cites "Dasgupta B." Prof. B. Dasgupta heads the rheumatology clinic I attend, so, in theory at least, I should be in the best hands! Nos. 2&3 are new to me. I have skimmed them, but will take the time to read them, prior to my next clinic appointment. New knowledge is always welcome & empowering.

Thanks to You All,
                            Nigel.