Thanks for your two cents, Lene!     I think I had a reply a bit further up from the 18th.  The rheumatologist basically told me that we're all very individual, and that if I don't give up, he won't give up.  One way or another we will find a way to make me much more comfortable, and hopefully soon.     He doubled the Enbrel, so I'm now taking 50/ml on Wednesdays AND on Saturdays.  I've had a good response to it, but not good enough.  We're going to do that for three weeks and see how things are feeling.  He called me this morning to see how the increase was making me feel - a little lightheaded and a bit nauseated, but my pain is down to a low zinging like you'd expect from a badly whacked funny bone.  It's a strange change, but he says that should modulate a bit as pain decreases.  I'm to let him know if anything becomes numb.  So far, it beats the hell out of the sharp pain, even with the dizziness and nausea!