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Well, I did see my Rheumy in early July and because it's still early, I was in a bit of a remission when I saw him so he couldn't make a defniitive diagnosis.  But he does believe it's RA he just can't say how bad it could get.  He did, however, say that with my RA factor being over 200 it does tend to mean it will be a more agressive RA.  He sent me for more blood tests to rule out other possibilities but tends not to share the results so I'll check into that when I see him again in January (he wants to see me every 6 months for now).  Once I started taking Naproxen and Plaquenil it made a difference.  The pain seems to primarily stay in my smaller joints but for longer periods of time.  For example, it's been in my right index finger for almost 2 months now.  When my larger joints are sore, it's not as severe and doesn't last as long although the fatigue gets the best of me some days.  I missed a morning dose of my meds on two separate occasions and between the pain and fatigue, I paid for that mistake for two days after!  I am able to do most things but I try to keep a level head about not lifting things that are too heavy and I take the elevator rather than the stairs when my feet and toes are sore.  I find if I push through the pain it only makes it worse so I'm still learning to be sensible about it (although it makes me feel lazy).