I have a couple of questions from reading your posts. I have developed some problems lately and wondered if they are connected to Hughes. Sleep is a problem and I attribute this to age but I now have excessive tiredness. I have actually dropped off to sleep standing up! I can't read or even watch TV without drifting off a dozen times or so. This is very worrying to me because along with that my memory is becoming affected. I feel as if I am going crazy! Oh yes I have extremely bad arthritis which is somewhat a mystery to everyone including my rheumatologist. I present rheumatoid but tested negative for it. In fact I have had every test available the answer is still no so they had to guess osteoarthritis. I wear a pain patch plus take pain meds by mouth. Any suggestions would be greatly appreciated, thanks.