So imagine having R.A. with all the pain, fatigue, and deformities without the use of ANY biologics or medication! That’s the boat I’ve been in since my diagnosis in 1995. If you live in a place that has lots of birds (and what place doesn’t?!) you may be familiar with histoplasmosis, a non life- threatening fungal disease of the lungs. It was discovered after a routine physical exam which included an X-ray of my lungs at age 17. Surgery to remove a portion of my right lower lung was performed successfully, but little did I know what that would mean for me, until my R.A. diagnosis. It precludes any possibility of taking “live” vaccines or medication. Okay, so I still could take Plaquinel and methotrexate…..until I became allergic to both! That is what I have been dealing with for over 30 years, and that’s not all! I’m a walking autoimmune disease, also having Tako-Tsubo cardiomyopathy (“broken heart” syndrome), primary biliary cholangitis (stage 4), fibromyalgia, Hepatic Encephalopathy (a new and rare diagnosis), and spondylioarthritis, and an undiagnosed skin disorder from the toxins that build up in my body due to my liver disease. Anyone else dealing with being in such a “special” and very confining square box, I would love to know?