I'm glad you are getting comments. I can empathize. I've had chronic pain and organ damage from a severe illness when I was 21. I'm now 71! I was able to live a good life, work, and have a family. But the pain management takes a huge amount of energy. I have numerous co-morbities. In my sixties I began to realize that I wouldn't treat the "next" illness aggressively. I have a rare breast cancer that was treated in a moderate fashion--lumpectomy, short course of radiation, and aromatase inhibitors. Rather to my surprise, I feel good and am fine three years later. But I've made it clear to doctors and family I won't treat a recurrence with chemotherapy. However, your pain level is concerning. I have a palliative care doctor I consult with. And my pain management has improved since the breast cancer. Oncology, and in my case nephrology, can be more willing to treat pain effectively than a PCP. Do you feel more can be done for the arthritis? Palliative can be supportive, so I suggest it if you need it. Wishing you all the best.