@susandenise, My goodness, you truly do define the term "daily warrior". Thank you so much for being an animal rescue good samaritan for so many left behind, sometimes ill and injured, cats and dogs. A good friend in San Fransisco does the same for feral cats in Golden Gate Park. That alone is a full time "volunteer" avocation. That you also live on a self sufficient farm spells another full time job. And then there are also those children who require 24/7 attention, meals and care. Another "super achiever" joins the ranks of so many others in these Connect forums who keep going forward despite their chronic pain and daily challenges. I am certainly not one of those but can stand to the sidelines with nothing but admiration for what you and they determine to do. I don't have RA and absolutely no medical background but a close friend does and I know it took visits to several docs before she found one who could help her. No idea what might be causing the large lower leg swelling but would encourage you to seek a consultation with a different doctor who could treat you for that. Sending you best wishes and hope you are remembering to also practice some good self-care.