Wow
Never have I ever. May I ask where you live? I would want to get myself to a premier teaching hospital.

I have RA for the past 12 years and know a fair amount about typical blood values they are interested in and try to manage.

The entire point of the biologics we take is to dial down the immune response so in the absence of legitimate targets like infection, it doesn’t turn on illegitimate targets like my joints. It seems to my semi-educated perspective, you have the antithesis of that scenario. Your immune system isn’t going to attack your joints - doesn’t it appear Comotose based on lab work? And yet X-Rays suggest active disease in your hands.

I’m very confused. But I’m not the one who needs to understand. Do you feel like you have your head around it?

Maybe someone here has encountered this scenario but my instincts say this is a rare enough scenario you might want to be managed somewhere they are more likely to encounter it in the wild instead of in a write-up someone else did.

Sending good JuJu your way!