Rheumatoid Arthritis Support Group
Rheumatoid arthritis is a chronic, inflammatory, multisystem, autoimmune disorder. It is a disabling and painful condition which can lead to substantial loss of mobility due to pain and joint destruction. The disease is also systemic in that it often also affects many extra-articular tissues throughout the body including the skin, blood vessels, heart, lungs, and...

Yes, RA does turn your life around. With hands and feet being the most affected, you sound like you have sero-negative RA. I have that, and I was under-treated the first 7 years I had it. So if Plaquenil doesn't work in 6 months, go back and ask for methotrexate. And then a biologic if that is not enough. And do range of motion exercises for your hands and wrist especially, but also for the feet or you will lose mobility and strength in them. I was given RA physiotherapy and Occupational Therapy for free by our Canadian health care. Ask to get it. Even a book of exercises to follow would be better than nothing.
Then, my next recommendation would be to take prednisone. It only treats the symptoms and it can have bad side effects, but even low dose might help you. At this point again in my RA journey, I am taking side effects, over pain and joint damage. I wouldn't have made it so many times without prednisone to tide me through med failures and meds that don't work enough.
Anyway, hopefully others will have some good suggestions to share with you.
What's going on at work? We may be able to help you understand your rights and tactics for dealing with management while protecting yourself.
As a social worker, I am confident that you have the skills to be your own advocate but I also recognize that it's harder than it sounds. It's hard to acknowledge that you might be the one who needs help now.
After you've explored your legal options, if you're still looking to get back into the full-time work force, your local Michigan Works office *might* be able to help. Also, you might consider trying to get your foot in the door in a public sector job and disclosing your ADA protected disability while at the same time indicating that it's now under control and you are ready to return to full-time work. Their desire to meet diversity and disability quotas may help you. You do want to be careful not to disclose too much, I wouldn't tell them what the condition is, I would simply refer to it as a disability. I am so incredibly grateful that I work in the public sector. My job requires just cause for termination and my employer is much more capable of and willing to accommodate me than a small non-profit or business. They're also more concerned with doing things legally. It's not perfect, but better than the private sector.
I wish you the best of luck. Feel free to reach out to me any time.
Where your employer probably screwed up is on the "reasonable accommodations" bit. Most employers think that if there's any part of the job you can't do, they're off the hook and that's not the case at all. If they don't have great records of how they tried to accommodate you, if they don't have great records if the "essential duties" in your position description, well, I think that's what a good employment law attorney would sink their teeth into.
You have six months to file a discrimination claim with the EEOC, if you haven't done that, you need to get moving. Find an attorney ASAP and ask them if you should file a claim with the EEOC or the state's labor board http://www.michigan.gov/lara/0,4601,7-154-17485---,00.html. Even if you're past six months, pursuing legal action is probably worthwhile.