I have had Sjogren's for a number of years, also. I additionally have RA, fibro, restless leg, spinal stenosis and osteoarthritis. My first diagnosis was with fibromyalgia about 15 years ago. Two years after that, diagnosed with RA, a year later came the Sjogren's diagnosis, and just about two years ago was the spinal stenosis and osteoarthritis. My Sjogren's was diagnosed from a lip biopsy. I was on Imbrel for about 5 years and it worked really well until I started to get MS symptoms. Six months after stopping the Imbrel, the MS symptoms disappeared. I was on plaqunil for about 5 years until I started having eye problems (used to have to go to eye doctor every six months and they noticed I started to get retina "puckering" which they could not rule out was caused by the plaqunil, so I stopped taking it). I am currently on Cevimeline (30 mg twice daily), Cymbalta (30 mg twice daily) and Trazadone (50 mg once daily for sleep). I also occasionally use Voltaren Gel on some of my joints when they are really, really bad - but that is not even once a week. I do have daily pain. I also have a daily low grade fever (100 to 101) which started the last three months. Go to doctor this Thursday to figure out what that is about. Oddly enough, I have bad thumb and wrist pain as well and they thought I had carpel tunnel, but I don't. My nerve tests also came back "normal" but I did not have any punch hole skin tests. Perhaps I should mention something. They (being my regular doctor, my rheumatologist and neurologist) can't seem to figure out why I have the pain I have in my legs, feet, hands and arms. The joint pain is accounted for, but the nerve pain is not. I also have occasional chest pain and was told it was the connective tissue between ribs that gets inflamed and causes the pain. I perhaps twice a year take a pain pill for pain if it gets just too bad for me to get relief any other way. I have a thermapedic mattress (which I HIGHLY recommend), try to walk or swim daily, take whirlpool baths and try to get massages as often as I can (I'd get them twice weekly if it weren't so darn expensive - as it is, I get them once or twice a month). I also try to practice thankfulness and be as social as I am able. I still work part time (I am very thankful for that - have had same job for 38 years now and still have 10 years to go before I can collect SS retirement income. I could most likely qualify for SSDI and may have to apply one day, but am glad I can still work part time for now.) I also care for my mother who has Chron's and Alzheimer's. I am blessed that my husband is helpful and, for the most part, understanding. I do feel guilty at times that I am a burden. I try to do as much as I can on my own. He does most of the laundry and cooking, though. And he still works full time. But I count my blessings as I know it could be much, much worse. I pray daily for those in chronic pain and with chronic conditions or other health battles. People are correct when they say if you have your health, you pretty much have everything. I never knew before so much in life depends on good health! When I was younger, I was extremely athletic and much thinner. I never smoked or did any illegal drugs and drank rarely on social occasions only. I exercised daily and was into extreme sports. Then I hit my late 30's to early 40's and BAM - all the autoimmune stuff started and kicked my butt. I fight back and feel I do okay. But it is very hard, especially in the beginning, for family and friends to understand. Heck, it was extremely depressing for me for several years. I just couldn't wrap my head around it. Things are much better now that I have accepted it is what it is and I pace myself and do what I can to avoid any "flares" of any of my issues. Right now I am trying to drop some pounds. I have gained about 40 pounds since my ordeal began. It has just slowly crept up on me. It is hard, however, and I worry sometimes about my husband loosing interest because I've gotten too fat! After all, what I am now certainly isn't what he married. I know I shouldn't be so hard on myself, but I could eat better. I just tend to eat when I am stressed or having a bad day. Oh well, I don't want to complain. The majority of the days I feel pretty good. I cope pretty well and know I am very blessed. I have wonderful children and fantastic grand kids. I have three wonderful sisters and good friends. My faith is strong, which I believe is what gives me the strength to keep putting one foot in front of the other and not "give in" to my issues. Sure, I have my "lost days" when I spend a day or two totally in bed because I just can't do any more, but I make myself get up and get going because I know "motion is lotion" and too much "rest is rust". I am also grateful for this forum. I don't get on as much as I would like, life seems busy that way, but I do feel a sense of camaraderie when I do get a chance to log in. I know my fight is not being fought alone. God bless all of you!