I work part time (24hrs a week over 4 days a week) and have 2 young children. I take Sulfasalazine and Methotrexate and have just stopped prednisolone. My ESR is still at 44, my blood results are all over the place and I am in pain from the moment I wake up to the moment I go to bed. My Rheumatologist is useless but my GP is brilliant at keeping me together. I am about to request a change in Consultant as I've been on my current regime since September with no visible change physically or in my blood results.Even though work has been so supportive, I'm finding it harder and harder to get out of bed and actually function (I'm a scientist in a lab). I really can't afford to not work for financial reasons and for my own sanity. My GP reckons I will feel a lot better and able to function if Rheumatology can get their act togther and get me a treatment that works. What is the best thing to do? Take an extended sick break or leave?