I've not posted for awhile. The methotrexate and enbrel is still working well. Work is getting pretty difficult with 12 hours of non stop running the hospital halls. I considered retirement but afraid of losing the enbrel due to medicare. The supplemental insurance card will probably not be any good and no one can afford the 20 percent even if medicare would pay the 80. I just seem to be tired way to much. But ever so grateful the medications are working as well as they do.