Hi Tina, Yes, you're so right.  It is very hard on the carer.  My husband has been great!  He was struck by lightning 3 years ago; the day before my neck & back reconstruction.  I recuuperated & then got R.A. and now Fibromyalgia.  In so much pain!  Started with Orencia then after a year switched to Embrel & now my 3rd year, Humira.  Each med becomes ineffective after a year.  Hopefully Hurmira will be the one to put me in remission.  I watch what I eat, but with lack of activity & med's, I can't loose weight!  I'm trying to see how long the Hurira takes to work. The first dose didn't cause any improvement.  Am so stiff, swollen, and sore.  The Enbrel worked right away!  Best of luck to everyone! This is a terrible disease that causes one to loose hope.  That's something I've never had to confront before.  I usually am very positive.  God bless us and keep us healthier then today!!!