I had the same reaction when my doctor told me I am at mid range between stages 2-3. I cried. Could not believe the pain and illness I have been feeling is "early stages". I asked if it is this bad now at "moderate", how bad is this going to get?? Apparently I have been in a "flare" since at least Thankssgiving when I contracted a virulent form of bronchitis. I know now, from reading up on symptoms and reflecting on my health issues, that I have been dealing with this for several years, undiagnosed.
Just diagnosed in March, with RA factor of 413 - at least such a high # got the doctor's attention and he made room for me on his schedule right away-they were booking new patients into June at that time! 150 miles to the nearest RA doctor covered by my ins. The drive is horrible. After the first visit with him, MUCH blood work and xrays, during the 2nd visit, he told me the numbers indicate my RA is a "highly aggressive form" (on scale of 1-10, I am at 8.5), with sjogren's syndrome and fibromyalgia, just to top things off.
I am 2 weeks into more prednisone (Thank God for prednisone!!!), omega3's, and now folic acid and methotrexate (2.5 x 5 pills, once a week) if I do well on it, he says we will increase the dosage in a week or two. So far, gut busting cramps and diahrea within a day or two after taking it are the main side effects, managing that with immodium - just glad a friend warned me before it hit!!!