I have been suffering for about 3 months with more pain especially in my hands and wrists even if I havent done anything out of the ordinary like painting. I was due for my annual review at the end of May. However I couldnt stand it much longer so phoned the clinic and was given an appointment for last Tuesday. Unfortunately the clinic was running over an hour late but I didnt mind cause I thought it would be worth it. It wasnt lol. The consultant just felt my wrists and fingers and said "they dont look swollen to me". After reading in the last NRSA mag about methotrexate injections I asked if I could change to them to cut down on the nausea. He said I could change if I want to but suggested I tried folic acid every day instead. So no blood test but I did get my hands and feet xrayed. I find I always get more from my appointments with the specialist nurses. But hey ho I live to fight another day.