Sounds as if you are doing great. I was just responding to your comment that if the methotrexate and plaquenil ceased to work, you might go to Enbrel - so i was sharing my experience and how it might offer advantages. Enbrel is a needle but only in sense that it’s a pre loaded pen. I’m not sure what kind of drug coverage you have but if you ever go that route, you can frequently get a big discount from manufacturers unless you receive any government income like social security. I had that with Humira from AbbeVie and only paid a fraction of the cost.