Yea. There’s no cure whether one has your somewhat vague diagnosis or my rather specific one of moderately severe, seropositive Rheumatoid Arthritis. We both have pain, inflamed joints, bones, etc., and after the requisite entry level drugs that likely won’t be enough over time, we will receive one of a dozen or so biologic drugs that are miraculous for some, inadequate for some, and dangerous for a few.

So we balance symptoms, signs of trouble via things like spiking liver enzymes, and other signs of trouble caused by disease or trouble caused by treatment.

And we get up and do it again. One day the formula suddenly doesn’t work and you start a new drug.

Rinse and repeat.
[edited to say that I am not quite as blasé as I sound. If I have to have this blasted condition, I’m eternally grateful for a stellar rheumatologist who is part of the Duke medical system, and the aforementioned miraculous biologics].