Hi . Clearly all too true. My wife, Kelly Mack (a contributor here), was diagnosed at two, almost 45 years ago. She has noted how she simply doesn't know anything different and I suspect it doesn't take long with RA for a new normal to take over. Last year we were meeting with a surgeon before Kelly had a reverse shoulder replacement and the surgeon (who, on top of being a great doctor, had been through surgery himself and really got it) was commenting on the difference for an RA patient like Kelly when it came to pain. As he put it, what he or I would consider a bad pain day for Kelly is just Tuesday (or any other day). Know that people here get it. Best, Richard (RheumatoidArthritis.net Team)