Hi everyone, happy new year! My name is Antony, I've had RA for 4 years, I'm on enbrel and mtx! Am also on nortriptyline as I get fibro pain too, and struggle sleeping for over an hr at a time. I work in a warehouse on a forklift truck doing shift work! I do really struggle and had my hours reduced from 12 hrs to 8 hrs by asking for reasonable adjustments under the disability act. I still have to make my 12 hours up at other times. For the winter I have been taken off shift work, due to the cold etc and stiffness and pain! My manager wants me back on shift come April time but I really struggle on night shift, lack of sleep and fatigue etc etc, but I asked him if I could stay on a day shift instead of nights if I can find some medical evidence that, working nights and lack of sleep is detrimental to my health and could potentially make my condition worse? I get 3-4 hrs sleep on a night shift and that is waking every hour too!! He will consider this so this is where u guys come in? Have anybody come across any articles or heard anything personally that supports my claim, I have heard that stress can make our symptoms worse but can't find about lack of sleep!! Hope you can help??