I have been there. Many, many, times. It starts to get exhausting and frustrating when you just can't seem to get a break in the pain and fatigue. It really takes a toll. All I can say is that after decades of dealing with RA myself when those times come and I just can't seem to do anything about it I just wait for something to change... even if it's not better at least it's different. Just know you are not alone, and if there's anything we can do to help let us know. Keep on keepin' on, DPM