Oh my, this is a personal topic for me and the time lost issue is so rarely referenced. Until 3 yrs ago, post retirement, I was living a dream retirement plan, one I actively trained for 6 years, traveling all over the country with Red Cross disaster Services, and as a new EMT, volunteering with the Rescue Squad. I've had RA for 25 years, but I occasionally went in remission and could do EMS AND RED CROSS deployments during good years. I hoped to go on to paramedic. It all came crashing down when returning from a month in Minot ND 3 years ago, helping with their floods. I was 2 inches shorter in a month and could barely walk through the Minot airport. I had "out of the blue" dislocated my left hip getting into a car with some other disaster workers. I had to immediately drop off the Rescue Squad and Red Cross deployments. I learned my toes had all dislocated and I was walking on bone, and I had degenerative disk disease as a result of progressive RA bone deterioration and long term effects of prednisone et al. So now I lose my life's time. I've had within the past 3 years to right foot reconstructions, the 2nd this past April. 18 months ago a spinal fusion with a nice titanium cage with L4, L5, and S1. Tomorrow I see my wonderful surgeon who I just love, to schedule my right shoulder rotator cuff repair for a tear and hole in the muscle and a right shoulder replacement. I have lost 3 complete years since stepping off the plane from Minot. We are keeping an eye on the left hip which is next on the list. My husband who has been a saint through 25 years of RA, my close wonderful girlfriend, 3 fantastic sisters, and my 4 fantastic adult kids, although never complaining, I know are getting exhausted. I would have never guessed that I would acquire a plethora of splints, shower chairs, 4 different walkers, wheelchairs, crutches, and 6 canes.