The last few weeks have been crazy, but I saw my rheumy today, and he wants more of a response than I'm getting from Enbrel.  He gave the option of trying Humira or going straight to Actemra.  He says he's pretty certain I'll respond to Actemra, but that it's slightly more risky than the TNF blockers.  I went with the Humira for now because I'm just not crazy about the infusion process.  I don't like swapping all these medications around.  It makes me nervous.     I'm getting really tired of all this, but I've also been under a tremendous amount of strain arranging care for my mother after her heart went into A-fib last week - and won't come out of it.  Would I have responded better to the increase in Enbrel if I'd been under less stress?  I can't help wondering.