This my first post. I'm in the US, 80 year old male, Type II diabetes. Had an overnight attack of RA last November. Hands were normal when I went to bed, the next morning they looked like clubs and could not lift a cup of coffee with one hand. Was given a course of Prednisone which took all symptoms away; no sign of RA. It all came back when tapered off Prednisone. Officially diagnosed with RA in January and put on MTX. Did okay for two months, then developed mouth ulcers. Started Arava (Leflunomide) and tapered off Prednisone again and then had a flare that hit my neck suddenly one night in September and couldn't get out of bed due to excruciating pain. Prednisone once again. My Rheumatologist has Rx Orencia infusions which will probably start next week. I'm to continue on Arava as well. Sorry if I'm writing a book here. I guess bottom line I would like to know if anyone has been on Orencia (Abatacept) and your experiences with it. I have been following some of your posts and I feel very fortunate in that some of you have been dealing with RA since you were young, or at least for many years and have way more serious issues than I do. Thank you in advance for any information or advice you may give.