Update!

Went to the rheumatologist this week.  He confirmed the Sjogren's dx.  It is official now!  Anyway I just started Plaquenil 2 days ago and am slowly reducing the steroid.  Have had some real up and down days.  Not sleeping well and that always makes me feel twice as bad.  I have been able to work 3 days a week for 3 hours each day caring for an elderly woman.  Still not well enough to work as a nurse, but maybe I can get a day a week in the future somewhere and try it.  Almost 6 months with no income from me has certainly pressed us.  Thanks for your prayers and encouragement.  Love Pam