Hi . Are you currently on a biologic or did treatments like that become unnecessary after the surgery? My wife, Kelly, was diagnosed with a severe form of a different autoimmune condition (juvenile RA in her case) at age two, 46 years ago - before modern treatments, with the damage to show for it. She's used a wheelchair since childhood. Many don't realize just how far treatments have come. While modern treatments, like biologics, may not help everyone, they have prevented damage for many. How are you currently doing? Best, Richard (Team Member)