Hi, I am a 37 yr old LPN and have been for almost 4 years. I am married with 4 children. I was diagnosed with RA in 2001 while I was 8 weeks pregnant with my 3rd son. I was relatively symptom free with some not so bad flares for 7 years. Now everyday that I wake up it's truly an adventure. I am so exhausted everyday. I have no energy for much of anything. I work in a rehab nursing home full time at night. I feel like something is going to give but don't know what or when. I have to work full time and keep the benefits but it is becoming excruciating. I have severe anemia, insomnia, and Afib also. My kids are having health issues as well. I hurt everyday but not always in the same places but lately my hands and feet are in terrible condition and makes performing ADL's more and more difficult let alone pt care. I am so frustrated and don't know what to do. I am currently on Methotrexate, Prednisone, and supposed to be starting Enbrel soon pending insurance approval. So far the meds are not doing much. The insomnia and anemia is also being tx with not so much improvement seen yet. Any advice or comments would be greatly appreciated. Thanks. nurselady06:nurse: