thanks for your response, it really helped me get a little perspective.... the doc was trying to get me to tak some time off and i have, been out for 2 weeks so far..... still pretty constant with the bilat flare-ups in wrist/hand but it has lessened a little. I spoke with my physical therapist about work and he thinks I could go back in time to work, but not to the 'busy' office i was working in.... not quite sure what i'm gonna do yet, really cant afford not to work, but at least getting a little healing time.... I also have gotten back into doing a little recording (singing) while ive been home & thats really helped with my mood.im gonna talk to the doc about the blocks, I just feel like I wanna try everything i can to at least get some function back.... i like this doc, but i'm thinking i may want to add another doc in, maybe a neuro and discuss these other ideas... thanks again .. Dawn