Thanks again, V.  I think I'm just really fighting the diagnosis with a lot of denial, which isn't going to do me much good, I know.  I'm still trying to reason my way out of what is instead of actually accepting it.     And I'll ask my rheum some more questions at my appointment today.  I'm not sure I want him to switch me off the Enbrel.  I feel like it's definitely working, but is it enough when I'm still in pain?  Or is this about as good as I'm probably going to get?  On my better days, I feel like I can live with this, even though it requires some serious compromise.  But on my really lousy days, I just want to take my toys and go home!