So, I moved over the summer from WA to CA. I finally got a job, got insurance, got referred to a new Rheumy, all that fun stuff. He is nice, he gave me good pain meds, but his approach to the DMARD's is frustrating me. When I was first diagnosed it was following a hip replacement due to the fact that I was diagnosed as "depressed" by 5 or 6 doctors when I first got sick. Within 5 years it got so bad that the surgery was my only option and the surgeon wasn't sure there was enough bone left to take the replacement. Anyway, the first Rheumy I went to was very aggressive, he started me on methotrexate and enbrel, as well as prednisone and Nsaids. That was in 2004. In 2008 I started noticing more frequent flares and determined that the enbrel and mtx combo wasn't working, we increased the mtx to 9 tabs a week, and before my follow up to discuss other options I moved. So I tell all of this to the new doctor and all he wants to put me on is MTX 4 tabs a week. I am living on Norco right now and I do not like it, but I have no other choice. The worst part is that my sed rate went down from 36 to 29 after starting the mtx so I am afraid he is going to say it's working. On the other hand I could be overreacting, I don't go for my first follow up until early May, maybe he will be willing to discuss this further at that point. Just needing to vent I suppose, I miss having a doctor who treat aggresively, I'd rather go overboard and save my joints!!